Denial Resolution

The Palmetto GBA Denial Resolution tool includes resources for resolving the top claim rejections and denial reasons. Save time and resources by looking here before you pick up the phone.

  • Access denial reasons in plain language
  • Scroll through the titles to locate your procedure
  • Use the Palmetto GBA search engine to search by remark code

Latest Articles

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NPI: Troubleshooting Rejections 12/31/2020
Provider Certification Denials 12/31/2020
Routine Physical Exams: Statutory Denials 10/30/2020
Clinical Laboratory Procedures: Duplicate Denials 07/07/2020
Chest X-ray or EKG: Duplicate Denials 07/02/2020
Chiropractic Manipulative Treatment Denials 07/02/2020
E/M Service: Duplicate Denials 07/02/2020
MSP: Eligibility & Denials 05/04/2020
Denials: Top Reasons and Procedures 04/23/2020
E/M Service: Similar Services from Multiple Providers in the Same Group 03/29/2018
Anesthesia Services: Bundling Denials 02/08/2018
CLIA Certification Number Required 02/08/2018
CLIA: Laboratory Tests 02/08/2018
Code/Modifier Combination Invalid and Modifier Invalid/Missing 02/08/2018
Diagnostic Cardiology Services: Medical Necessity Denials 02/08/2018
Duplicate Denials: Compliance Matters 02/08/2018
EKG, EKG Rhythm Strip and Cardiac Echography: NCCI Bundling Denials 02/08/2018
Electronic Claim Required: Denials 02/08/2018
Established Patient Office Visits: NCCI Bundling Denials 02/08/2018
Eye Refraction: Statutory Denials 02/08/2018
E/M Services: CCI Bundling Denials 02/08/2018
E/M Service: Global Surgery Denials 02/08/2018
Glycosylated Hemoglobin A1C: Medical Necessity Denials 02/08/2018
Hospice: Non-Attending Physician Denials 02/08/2018
Hot or Cold Packs: Bundling Denials 02/08/2018
Lipid Panels: Medical Necessity Denials 02/08/2018
NCCI Bundling Denials 02/08/2018
Physical & Occupational Therapy and Speech Language Pathology Caps: Financial Limitation Denials 02/08/2018
Reason Code CO-96: Non-covered Charges 02/08/2018
Skilled Nursing Facility: Not Covered by This Payer (Consolidated Billing Denials) 02/08/2018
Submitted to Incorrect Program: 'Jurisdiction' Denials 02/08/2018
Unlisted Supplies: Bundling Denials 02/08/2018
Venipuncture: Not Covered by This Payer (Facility Setting) 02/08/2018
Venipuncture: Statutory Denials 02/08/2018
X-Rays: Denied for Chiropractors 02/08/2018

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