Reason Code C5464 - JE Part A
Reason Code C5464
Reason Code Narrative
THE DATE FOR THE ITEM/SERVICE THAT IS SUBJECT TO PRIOR AUTHORIZATION IS AFTER THE EXPIRATION DECISION DATE.
Common Reason Code Errors
- Pending Prior Authorization Request (PAR) at Common Working File (CWF)
Common Reason Code Corrections
- Auto-denial unless a valid UTN is supplied do not overturn
Resources
Last Updated Aug 30 , 2022