The 5 most common explanatory codes that our users get from a rejection of a claim are as follows:
Processed according to the description of the fee item, or the note relating to the fee item, in the Payment Schedule.
This is a duplicate claim. An identical claim is being processed.
This claim will be processed on a future remittance statement. Please do not re-bill.
One 00114 is paid every two weeks for care provided in a long-term care institution (eg. nursing home, intermediate care facility) unless supported by an explanation.
Fee items 01151 and 13052 are not applicable when performed in conjunction with other anesthetic services.