Reason Code 97 | Remark Codes N30

Code Description
Reason Code: 97 The benefit for this service is included in the payment/allowance for another service/procedure that has already been adjudicated
Remark Code: N30 Patient ineligible for this service

 

Common Reasons for Denial

  • Billed for items included in monthly rental charge

Next Step

  • Will not be reimbursed for these items. Suppliers will need to adjust amounts off of the accounts receivable, as beneficiary is not liable

How to Avoid Future Denials

  • Suppliers should not bill items that are included in the monthly rental charge amount to avoid denial and adjustment to accounts receivable

 

Last Updated Dec 09 , 2023