Reason Code C5470 - JE Part A
Reason Code C5470
Reason Code Narrative
SERVICE IS SUBJECT TO PRIOR AUTHORIZATION AND NO UTN IS PRESENT ON THE CLAIM. THE PROGRAM INDICATOR IS PRESENT. THE BENEFICIARY HAS NO 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
Resources
Last Updated Aug 30 , 2022