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Reason Code 35 | Remark Codes N370 - JD DME

Reason Code 35 | Remark Codes N370

Code Description
Reason Code: 35 Lifetime benefit maximum has been reached
Remark Codes: N370 Billing exceeds the rental months covered/approved by the payer

 

Common Reasons for Denial

  • Maximum rental months have been paid for item

Next Step

  • Ensure that rental cycle for item has been suspended in software system to avoid more denials
  • Total payments for Inexpensive and Routinely Purchased (IRP) items may not exceed the actual charge or the fee for a purchase

How to Avoid Future Denials

  • Ensure rental cycle is ended in software system when item has reached total capped rental month payments, or an IRP item has reached purchased price

 

Last Updated Mon, 11 Jan 2021 15:33:36 +0000