Reason Code C5461 - JE Part A
Reason Code C5461
Reason Code Narrative
ITEM OR SERVICE IS SUBJECT TO PRIOR AUTHORIZATION AND A NON-AFFIRMED DECISION IS PRESENT ON THE PRAU AUXILLARY FILE.
Common Reason Code Errors
- Pending Prior Authorization Request (PAR) at Common Working File (CWF)
Common Reason Code Corrections
- Auto return to provider (RTP)
Resources
Last Updated Aug 30 , 2022