Reason Code C5461 - JF Part A
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- Advance Beneficiary Notice of Noncoverage (ABN)
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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)
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Last Updated Tue, 30 Aug 2022 13:39:35 +0000