Reason Code 39934
Published 12/17/2019
Description
All line items on the claim are denied as non-covered and one or more lines denote beneficiary liability.
Resolution
Line item denial information can be obtained from the remittance advice or via the Direct Data Entry (DDE) system. Review the reason for denial and verify the information submitted on the claim.
Line item denials are usually medical necessity denials. If you disagree, you may request a redetermination (first level of appeal).
References
- Remittance Advice Resources (PDF)
- Washington Publishing Company Code Lists
- DDE User's Guide (JJA, JMA)