Reason Code 39934

Published 12/17/2019

All line items on the claim are denied as non-covered and one or more lines denote beneficiary liability.

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).


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