Denial Code Resolutions
Comprehensive guide to understanding and resolving common medical billing denials.
1
Deductible
Amount
2
Coinsurance
Amount
3
Co Payment
Amount
4
Procedure
Inconsistent With Modifier
11
Diagnosis
Inconsistent With Procedure
16
Claim Lacks
Information
18
Duplicate
Claim Service
22
Coordination
Of Benefits Cob
24
Capitation
Agreement
26
Expenses
Prior To Coverage
27
Expenses
After Coverage
29
Filing Time
Limit Expired
45
Charge
Exceeds Fee Schedule
50
Medical
Necessity
96
Non Covered
Charge
97
Bundled
Services
109
Claim Not
Covered By This Payer
131
Discount
Negotiated
140
Patient Id
Mismatch
167
Diagnosis
Not Covered
177
Patient
Eligibility Failed
197
Pre
Certification Absent
204
Service Not
Covered Under Plan
252
Documentation
Requested
No denial codes found
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