Denial Codes
Which denial code capitates to the HMO?
24
Which denial code indicates it's a deductible?
PR-1
Denial code PR-27 means what?
no coverage at time of service
Denial code CO-50 means what?
not medically necessary
What is the difference between CO-109 and CO-22 when pertaining to Medicare?
CO-109 means covered by another payer (either a SNF or RR Medicare)
CO-22 means another insurance carrier is primary to Medicare (MSP)