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Additional information is supplied using remittance advice remarks codes whenever appropriate, Item billed does not have base equipment on file. Illustration by Lou Reade. The information provided does not support the need for this service or item. CMS DISCLAIMER. . 2) Remittance Advice (RA) Remark Codes are 2 to 5 characters and begin with N, M, or MA. Plan procedures not followed. PDF Dean Health Plan Claim Adjustment Reason Codes - 10/27/10 Determine why main procedure was denied or returned as unprocessable and correct as needed. Missing/incomplete/invalid ordering provider primary identifier. Amitabh Bachchan launches the trailer of Anand Pandit's Underworld Ka Kabzaa on social media; Nawazuddin Siddiqui is planning a careful legal strategy to regain his rights and reputation Usage: Refer to the 835 Healthcare Policy Identification Segment (loop 2110 Service Payment Information REF), if present. You agree to take all necessary steps to ensure that your employees and agents abide by the terms of this agreement. Published 02/23/2023. Claim/service lacks information or has submission/billing error(s). PR THE DIAGNOSIS AND/OR HCPCS USED WITH REVENUE CODE 0923 ARE NOT PAYABLE FOR THIS PR YOUR PATIENT'S BLUES PLAN ASKED FOR THE EOMB AND MEDICAL RECORDS FOR THIS SERVICE PLEASE FAX THEM TO US AT 248-448-5425 OR 248-448-5014 OR SEND TO MAIL CODE B552, BCBSM 600 E. LAFAYETTE, DETROIT MI 48226. Denial Code - 204 described as "This service/equipment/drug is not covered under the patients current benefit plan". For beneficiaries 50 and older not considered to be at high risk for developing colorectal cancer, Medicare covers one screening colonoscopy every 10 years . Explanaton of Benefits Code Crosswalk - Wisconsin Some of the Provider information contained on the Noridian Medicare web site is copyrighted by the American Medical Association, the American Dental Association, and/or the American Hospital Association. Denial Code - 146 described as "Diagnosis was invalid for the DOS reported". For U.S. Government and other information systems, information accessed through the computer system is confidential and for authorized users only.