Avoid Receiving Inpatient Denials with Reason Code 109, Remark Code N538 and Denials for Claim Not Covered by This Payer Reason Code 109, Remark Code N418

Are you receiving inpatient denials or denials for claim not covered by this payer? Verifying beneficiary eligibility in the Noridian Medicare Portal is key to avoiding these types of denials. The denial code resolution tool should be utilized to find a solution to resolve denial and/or how to avoid the same denial in the future. Reason code 109, remark code N538 Denial Code Resolution page and Reason code 109, Remark code N418 Denial Code Resolution page

Last Updated Feb 27 , 2023