Reason Code C5468 - JE Part A
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Reason Code C5468
Reason Code Narrative
SERVICE IS SUBJECT TO PRIOR AUTHORIZATION AND NO UTN IS PRESENT ON THE CLAIM. A PROGRAM INDICATOR IS PRESENT. SERVICE ON THE CLAIM DOES NOT MATCH AN 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-denial unless a valid UTN is supplied do not overturn
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Last Updated Tue, 30 Aug 2022 13:45:47 +0000