Denial Resolution


Disclaimer: This is not a complete listing of reason/remark codes. Reason/remark codes may be added and are subject to change. 

This Claims Submission Error Help tool is designed to aid Medicare providers in reviewing reason/remark codes and how to resolve them; or for determining if other action is needed. You may search this page by reason/remark code or keyword. All records matching your search criteria will be returned for your review. If you are aware of a reason/remark code not listed or a description and/or a resolution is not clear, please email Palmetto GBA (poe.referrals@palmettogba.com) your suggestion for reason code addition or update.





Denial Resolution Articles


Lipid Panels: Medical Necessity DenialsE/M Service: Global Surgery DenialsUnlisted Supplies: Bundling DenialsVenipuncture: Statutory DenialsSkilled Nursing Facility: Not Covered by This Payer (Consolidated Billing Denials)Chiropractic Manipulative Treatment DenialsDiagnostic Cardiology Services: Medical Necessity DenialsEKG, EKG Rhythm Strip and Cardiac Echography: NCCI Bundling DenialsEstablished Patient Office Visits: NCCI Bundling DenialsCLIA Certification Number RequiredCode/Modifier Combination Invalid and Modifier Invalid/MissingChest X-ray or EKG: Duplicate DenialsClinical Laboratory Procedures: Duplicate DenialsAnesthesia Services: Bundling DenialsHot or Cold Packs: Bundling DenialsEye Refraction: Statutory DenialsHospice: Non-Attending Physician DenialsVenipuncture: Not Covered by This Payer (Facility Setting)X-Rays: Denied for ChiropractorsElectronic Claim Required: DenialsE/M Service: Duplicate DenialsNPI: Troubleshooting RejectionsProvider Certification DenialsReason Code CO-96: Non-covered ChargesNCCI Bundling DenialsDuplicate Denials: Compliance MattersCLIA: Laboratory TestsGlycosylated Hemoglobin A1C: Medical Necessity DenialsE/M Services: CCI Bundling DenialsSubmitted to Incorrect Program: 'Jurisdiction' DenialsE/M Service: Similar Services from Multiple Providers in the Same GroupPhysical & Occupational Therapy and Speech Language Pathology Caps: Financial Limitation DenialsRoutine Physical Exams: Statutory DenialsTop Reasons for Claim Denials and RejectionsCARC 22CARC 181CARC 109CARC 18MSP: Eligibility & Denials