Denial Codes Flashcards

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1
Q

PR1

A

Deductable

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2
Q

PR2

A

Coinsurance

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3
Q

PR3

A

Copay

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4
Q

CO16

A

Lack of Information

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5
Q

CO29

A

Untimely Filing Limit

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6
Q

CO96

A

Non Coverage

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7
Q

CO97

A

Inclusive

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8
Q

CO109

A

Covered by Another Payor

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9
Q

CO197

A

No Authorization

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10
Q

CO50

A

Medically Not Necessary

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11
Q

CO24

A

Capitation Denial

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12
Q

CO45

A

Charges Exceeded as per Fee Schedule

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13
Q

CO253

A

Sequestration Amount

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14
Q

OA23

A

Primary paid more than Secondary

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15
Q

CO242

A

Out Of Network Provider

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16
Q

CO22

A

COB Issue

17
Q

CO119

A

Maximum Benefits Exhausted

18
Q

OA181/CO18

A

Duplicate