Reason Code C5467 - JE Part A
Reason Code C5467
Reason Code Narrative
SERVICE IS SUBJECT TO PRIOR AUTHORIZATION AND NO UTN IS PRESENT ON THE CLAIM. A PROGRAM INDICATOR AND SERVICE ARE PRESENT THAT MATCHES THE OCCURRENCE 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
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Last Updated Apr 29 , 2025