knperry
Guru
Has anyone had any experience with the medicare denial code PR-B7? What does it mean and how do I handle it?
Thanks
Thanks
-
If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten your username or password use our password reminder tool. To start viewing messages, select the forum that you want to visit from the selection below..
Wiki Denial code PR-B7
- Thread starter knperry
- Start date
dclark7
True Blue
You can find denial codes at Wasington Publishing company. I found this on their site unde claim adjustment reason codes: B7 - This provider was not certified/eligible to be paid for this procedure/service on this date of service. Note: Refer to the 835 Healthcare Policy Identification Segment (loop 2110 Service Payment Information REF), if present.
The link is http://www.wpc-edi.com/reference/codelists/healthcare/claim-adjustment-reason-codes/
By the way, PR stands for patient responsibility. CO is contractual obligation. So according to the eob you can bill the patient.
The link is http://www.wpc-edi.com/reference/codelists/healthcare/claim-adjustment-reason-codes/
By the way, PR stands for patient responsibility. CO is contractual obligation. So according to the eob you can bill the patient.
Has anyone had any experience with the medicare denial code PR-B7? What does it mean and how do I handle it?
Thanks
If this is a lab charge, it may need the QW, clia waived modifier.