Reason Code B7 | Remark Code N570 - JD DME

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 have been confirmed by the National Provider Enrollment (NPE) Contractor, resubmit claim
• If NPE has updated enrollment information to show correct enrollment dates and meets Reopening parameters, a self service reopening in the Noridian Medicare Portal or Written Reopening can be conducted
• A Redetermination request may be submitted with all relevant supporting documentation. Noridian encourages Redeterminations/Appeals be submitted using the Noridian Medicare Portal. Review applicable Local Coverage Determination (LCD), LCD Policy Article, and Documentation Checklists prior to submitting request.

How to Avoid Future Denials

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