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Printed Date: 9/22/2015
All line items on the claim are rejected or rejected/denied.
Line item rejection/denial information can be obtained from the remittance advice or via the Direct Data Entry (DDE) system. Review the reason for rejection/denial and verify the information submitted on the claim. To find the line level reason codes:
If an error on the claim caused the line item rejection, you may submit an adjustment claim to correct the error. Line item denials are usually medical necessity denials. If you disagree, you may request a redetermination (first level of appeal).
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Last Updated: 12/16/2019