Common Reasons for Denial

• Narrative on claim missing information for code of item being provided or repaired

Next Step

• Correct/update narrative and resubmit as a new claim
  • Ensure correct narrative is included with appropriate HCPCS being repaired
• If submitted with correct narrative, and claim still denied, contact the Provider Contact Center for further research

How to Avoid Future Denials

• Ensure all narrative element requirements are included on claim line. Narrative is added to item 19 of the 1500 claim form or the 2400/NTE segment of an electronic claim.