The Palmetto GBA Denial Resolution tool includes resources for resolving the top claim rejections and denial reasons. Save time and resources by looking here before you pick up the phone.
- Access denial reasons in plain language
- Scroll through the titles to locate your procedure
- Use the Palmetto GBA search engine to search by remark code
Eye Refraction: Statutory DenialsEKG, EKG Rhythm Strip and Cardiac Echography: NCCI Bundling DenialsE/M Services: CCI Bundling DenialsX-Rays: Denied for ChiropractorsHospice: Non-Attending Physician DenialsCode/Modifier Combination Invalid and Modifier Invalid/MissingDuplicate Denials: Compliance MattersChest X-ray or EKG: Duplicate DenialsGlycosylated Hemoglobin A1C: Medical Necessity DenialsVenipuncture: Not Covered by This Payer (Facility Setting)Clinical Laboratory Procedures: Duplicate DenialsVenipuncture: Statutory DenialsElectronic Claim Required: DenialsDiagnostic Cardiology Services: Medical Necessity DenialsE/M Service: Global Surgery DenialsAnesthesia Services: Bundling DenialsNCCI Bundling DenialsEstablished Patient Office Visits: NCCI Bundling DenialsNPI: Troubleshooting RejectionsHot or Cold Packs: Bundling DenialsReason Code CO-96: Non-covered ChargesCLIA: Laboratory TestsUnlisted Supplies: Bundling DenialsProvider Certification DenialsSkilled Nursing Facility: Not Covered by This Payer (Consolidated Billing Denials)E/M Service: Duplicate DenialsCLIA Certification Number RequiredChiropractic Manipulative Treatment DenialsSubmitted to Incorrect Program: 'Jurisdiction' DenialsLipid Panels: Medical Necessity DenialsElectronic Claim Required: DenialsTop Reasons for Claim Denials and RejectionsRoutine Physical Exams: Statutory DenialsMSP: Eligibility & DenialsCARC 181CARC 50Physical & Occupational Therapy and Speech Language Pathology Caps: Financial Limitation Denials