May 27, 2019 · Effective for claims received on and after May 27, 2019, claims will be returned as unprocessable when a valid date is not reported, which includes the span date extending more …

Denial code 238 is used when a claim spans both eligible and ineligible periods of coverage. This denial code indicates that the claim has been reduced for the ineligible period.

View a list of occurrence span codes (OSC). The provider enters codes and associated beginning and ending dates defining a specific event relating to this billing period.

The provider should verify that the service is covered for the eligibility span attached to the participant (e.g., PRP services are not payable for participants who are receiving Long Term …

This policy describes reimbursement for these Time Span Codes. For the purposes of this policy, the same physician or other qualified health care professional includes all physicians and/or …

Jan 1, 1995 · These codes describe why a claim or service line was paid differently than it was billed. Did you receive a code from a health plan, such as: PR32 or CO286? If so read About …

This is generally the date the service was provided. That date may also be when the expense was incurred, or the date you paid for the service, but not necessarily.

Feb 1, 2019 · Physicians and non-physician practitioners need to identify the correct date of service for the services they provide to a Medicare patient. This MLN Matters Article is …

Oct 30, 2023 · EOB Codes or Explanation of Benefit Codes are present on the last page of remittance advice, these EOB codes are in form of numbers and every number has a specific …

Remark code N351 indicates a claim denial because the service date falls outside the approved treatment plan dates.