Reason Code 13 - JA DME

Common Reasons for Denial

• Date of death precedes date of service

Next Step

• Verify date of service billed
• Correct date of service if incorrect and resubmit as a new claim
• If date of death and date of service are same day, a Redetermination request may be submitted with all relevant supporting documentation. Noridian encourages Redeterminations/Appeals be submitted using the Noridian Medicare Portal. Review applicable Local Coverage Determination (LCD), LCD Policy Article, and Documentation Checklists prior to submitting request. Noridian encourages Redeterminations be submitted using the Noridian Medicare Portal

How to Avoid Future Denials

• Suppliers may use the Noridian Medicare Portal, under eligibility, to verify if beneficiary is eligible, prior to submitting a claim
  • Date of Death will display on the eligibility benefits response page
• If record on file is incorrect, beneficiary's family/estate must contact the Social Security Administration to make necessary correction(s) to have records corrected.