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

Contact Palmetto GBA JJ Part A Medicare

Provider Contact Center: 877-567-7271

Email JJ Part A

Contact a specific JJ Part A department


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