Durable Medical Equipment - Reason Remark Resource
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Durable Medical Equipment - Reason Remark Resource

A Reason Remark Resource has been created to assist the supplier community with better understanding why claims are being denied and how to prevent those denials on future claims submissions.

The Reason Remark Resource provides the following information:

  • Reason Code - The ANSI reason code noted on a supplier Remittance Advice (RA).
  • Remark Code - The ANSI remark code noted on a supplier RA.
  • Reason for Denial - A general reason the claim may have denied with the noted reason and remark codes.
  • Things To Look For - A guide to assist suppliers with where to look within the supplier or patient files to better understand the claim denial.
  • What To Do Next - Direction to assist suppliers with knowing their options to try and obtain payment for this claim after the original claim denied.
  • How To Prevent This Denial For Future Billings - This section will provide tips and resources for suppliers to prevent the same denial from occurring in the future.

The denials selected for the Resource were based on analysis completed on claim denials for the time period of October-December 2008.  Future claim denial analysis will be conducted and additional remark and reason codes will be added to the resource.

Please reference the Reason Remark Resource posted on the Claims page of the Noridian Web site.

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