Reason: An error occurred during the Network Policy Server use of the Extensible Authentication Protocol (EAP).
OA-23: Indicates the impact of prior payers(s) adjudication, including payments and/or adjustments. No action required since the amount listed as OA-23 is the allowed amount by the primary payer.
The Current Procedural Terminology (CPT®) code 23 as maintained by American Medical Association, is a medical procedural code under the range - Provider Services and Ambulatory Service Center Modifiers.
A reason code is a predefined set of categories or codes used to classify and track the reasons why certain events or transactions occur in a business. These codes are used to identify and understand the underlying causes of business processes, events, or outcomes.
Remittance Advice Remark Codes (RARCs) are used to provide additional explanation for an adjustment already described by a Claim Adjustment Reason Code (CARC) or to convey information about remittance processing.
Code Description
25 Payment denied. Your stop loss deductible has not been met.
N823 - Incomplete/Invalid procedure modifier(s).
Reason Code 1: The procedure code is inconsistent with the modifier used or a required modifier is missing. Reason Code 2: The procedure code/bill type is inconsistent with the place of service. Reason Code 3: The procedure/revenue code is inconsistent with the patient's age.
Code. Description. Reason Code: 13. The date of death precedes the date of service.
Condition code 21 can also be used to indicate a no payment claim is being submitted at a beneficiary's request, or other insurer's request, to obtain a denial from Medicare in order to receive payment from another insurer.
OA-23. This code indicates the impact of prior payers' adjudication, including payments and/or adjustments. If you receive this code, you don't need to take any action, as the amount listed is equivalent to that allowed by the primary payer.
Observation services initiated on the same date as the patient's discharge are reported by the primary care physician as observation care CPT codes 99234-99236. Observation discharge services are reported using CPT codes 99238 or 99239 if the discharge is on other than the initial date of observation care.
Claim payments with an '835 status code of 22' (Reversal of Previous Payment) will be posted unless the option not to post them is turned on.
Denial codes explain why insurance cannot cover a patient's treatment costs so medical billers can resolve and resubmit the claim. This not only benefits the patient, but it benefits the provider as well. Without being able to process claims, you don't get paid. So where can you find a denial code?
Reason code: 11" is usually the client-initiated end of a session. It is a piece of logic implemented by the FTP client itself. Serv-U is following what FTP clients tells to do after successful authentication.
CO 31 – Claim denied as patient cannot be identified as our insured. The most frequent reason for this is that either the patient's name or the Medicare number has been entered incorrectly.
Code. Description. Reason Code: 18. Exact duplicate claim/service.
Visa chargeback reason code 30 falls under the “Consumer Disputes” category. The shorthand description is “Services Not Provided or Merchandise Not Received.” This reason code means that the cardholder is claiming that the merchant never provided the goods or services that they paid for.
Reason Code: 4. The procedure code is inconsistent with the modifier used or a required modifier is missing.
Merchants who receive a chargeback for a transaction placed with a Discover card may encounter reason code 5, which indicates an improperly authorized transaction that the cardholder does not believe they should be responsible for paying.
Denial Code CO 27 occurs when expenses were incurred after the patient's coverage had been terminated, meaning that your practice provided health care services to a patient after their insurance policy's termination.
What is “CO 24”? If the patient is already covered under the Medicare Advantage Plan (Medicare Part C) but instead the claims are submitted to the insurance, then the claims are denied as CO24.
Merchants who receive a chargeback for a transaction placed with a Visa card may encounter reason code 72, which indicates an improperly authorized transaction that the cardholder does not believe they should be responsible for paying.