4,678 Results for 2023
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Posting Date: 07/15/2025
EDI: What Entity Name should I enter on the EDI Enrollment Agreement form?
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Posting Date: 07/15/2025
REMITTANCE: Do I need special computer software to use the electronic remittance advice?
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Posting Date: 07/15/2025
APPEALS: What is the best way to get duplicate denials paid on appeal?
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Posting Date: 07/15/2025
APPEALS: We are a large group with many physicians and nonphysician practitioners. When we submit claims for nonphysician practitioners working in different sub-specialties, we get claim denials that state: “D463: New patient qualifications were not met or M13: Only one initial visit is covered per specialty per medical group.” How can we avoid these?
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Posting Date: 07/15/2025
APPEALS: Is there a reference sheet to determine what constitutes an appeal?
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Posting Date: 07/15/2025
APPEALS: How can I get status of my redetermination or reopening request?
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Posting Date: 07/15/2025
APPEALS: We are a large group with many physician and nonphysician practitioners. When we submit claims for nonphysician practitioners working in different sub-specialties, we receive denials that state: D984: Coverage/program guidelines not met, N20: Service not payable with other service rendered on the same day.