Reason Code B7 | Remark Code N570

Code Description
Reason Code: B7 This provider was not certified/eligible to be paid for this procedure/service on this date of service. Usage: Refer to the 835 Healthcare Policy Identification Segment (loop 2110 Service Payment Information REF), if present.
Remark Code: N570 Missing/incomplete/invalid credentialing data.

 

Common Reasons for Denial

  • Supplier Provider Transaction Access Number (PTAN) was not in effect on date of service

Next Step

  • When effective dates of PTAN has been confirmed by National Supplier Clearinghouse (NSC), resubmit claim
  • If NSC has updated enrollment information to show correct enrollment dates and meets Reopening parameters, a Telephone or Written Reopening can be conducted
  • A Redetermination request may be submitted with all relevant supporting documentation. 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

  • Prior to submitting claim, review effective dates of PTAN with NSC

 

Last Updated Apr 18, 2018