Reason Code 7R046 - JF Part A
Reason Code 7R046
Reason Code Narrative
No response to a medical records request- This is a RAC determination
Common Reason Code Errors
- No response to a medical records request.
- Documentation requested was not received or was not received timely.
Common Reason Code Corrections
- Review your Recovery Auditor Contractor (RAC) findings letter and respond to medical records request timely.
- Review National Coverage Determination (NCD) and the Local Coverage Determination (LCD) as applicable.
- A Redetermination may be submitted if provider feels that sending in documentation will support need for service(s). The redetermination should include:
- All applicable supporting medical documentation
- Corrected UB-04 claim form
- Direct Data Entry (DDE) users can view remarks section for additional clarification.
Resources
- Remittance Advice Remark Codes
- Welcome to RAC Info! (cotiviti.com) -Review the ‘New Issues’ section.
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