Common Reasons for Denial

• Duplicate claim has already been submitted and processed

Next Step

• Before rebilling any claim, review the Noridian Medicare Portal in Claim inquiry for status of initial claim to avoid another denial
  • If claim has denied previously, resolve claim denial by reviewing reason and remark code on claim specific remittance advice and follow the Denial Code Resolution steps for that reason and remark code
• A redetermination request may be submitted with all relevant supporting documentation. Review applicable Local Coverage Determination (LCD), LCD Policy Article, and documentation prior to submitting request. Noridian encourages redeterminations be submitted using the Noridian Medicare Portal
• If a supplier feels a claim denied duplicate in error, contact Telephone Reopenings

How to Avoid Future Denials

• Before rebilling any claim, review the Noridian Medicare Portal in Claim inquiry for status of initial claim to avoid another denial
  • If claim has denied previously, resolve claim denial by reviewing reason and remark code on claim specific remittance advice and follow the Denial Code Resolution steps for that reason and remark code
• Call Noridian Interactive Voice Response (IVR) System to receive finalized claim processing information. IVR will skip duplicate denial and provide original claim status