Insurances Company will be denying the claim with Denial Code CO 05 – Procedure code/Bill Type is inconsistent with the Place of Service, whenever the CPT code is not compatible with the place the health care service provided to patient. Now let us understand the below terms to understand the Denial Code CO 05 – Procedure code/Bill Type is inconsistent with the Place of … [Read more...] about Denial Code – CO 05: Procedure Code is inconsistent with The Place of Service
Insurance Claim Addresses and Phone Numbers (Starting with B)
You can find the claim submission address and phone number for customer services, claims status and benefits verification on the back side of the insurance card. Below you will find a list of Insurance Claim Addresses and Phone Numbers for Insurances names starting with A. Insurance Claim Address and Phone Number (B) Insurances NameInsurance Claim AddressInsurance Phone … [Read more...] about Insurance Claim Addresses and Phone Numbers (Starting with B)
Insurance Claim Addresses and Phone Numbers (Starting with A)
You can find the claim submission address and phone number for customer services, claims status and benefits verification on the back side of the insurance card. Below you will find a list of Insurance Claim Addresses and Phone Numbers for Insurances names starting with A. Insurance Claim Addresses and Phone Numbers (A) Insurances NameInsurance Claim … [Read more...] about Insurance Claim Addresses and Phone Numbers (Starting with A)
Denial Code – CO 4: Procedure code is inconsistent with the Modifier used
Insurance will deny the claim as Denial Code CO 4 – The procedure code is inconsistent with the modifier used or a required modifier is missing, whenever the procedure code billed with an inappropriate modifier or the required modifier is missing. Modifier is a 2 character alpha numeric or numeric code that are used with CPT codes to indicate that a performed service has … [Read more...] about Denial Code – CO 4: Procedure code is inconsistent with the Modifier used
BCBS Phone Numbers by Plan and State
You can normally find the BCBS phone number for providers, customer service, claims and benefits verification on the back side of an Insurance card but If you don't have the Insurance card, you can find the BCBS phone numbers by plan and state here in this list. State NameLocal BCBSBCBS Plan & Phone NumberAlabamaBCBS of Alabama (AL)All Kids: … [Read more...] about BCBS Phone Numbers by Plan and State
Denial Code PR 3 Co-payment Amount
A co-payment or copay (called a gap in Australian English) is a fixed amount for a covered service, paid by a patient to the provider of service before receiving the service. It may be defined in an insurance policy and paid by an insured person each time a medical service is accessed. It is technically a form of coinsurance, but is defined differently in health insurance where … [Read more...] about Denial Code PR 3 Co-payment Amount
Denial Code PR 2 – Coinsurance
Coinsurance is the amount, generally expressed as a fixed percentage, an insured must pay against a claim after the deductible is satisfied. In health insurance, a coinsurance provision is similar to a copayment provision, except copays require the insured to pay a set dollar amount at the time of the service. Some property insurance policies contain coinsurance … [Read more...] about Denial Code PR 2 – Coinsurance
Denial Code PR 1– Deductible Amount
It indicates that the insurance company has processed and applied the claim towards the patient’s yearly deductible amount for that calendar year when the claim is processed towards the PR 1 denial code for the deductible amount.For a better understanding of the PR 1 Denial Code, let’s look at the definitions of deductible amount and in-network versus out-of-network … [Read more...] about Denial Code PR 1– Deductible Amount
Complete Medicare Denial Codes List – Updated
Medicare denial codes provide or describe the standard information to a patient or provider by an insurances about why a claim was denied. This is the standard format followed by all insurance companies for relieving the burden on the medical providers. MACs (Medicare Administrative Contractors) use appropriate group, claim adjustment reason, or remittance advice remark codes … [Read more...] about Complete Medicare Denial Codes List – Updated