- AUTHORIZATION_REQUIRED =
"Authorization Required"
- REFERRAL_REQUIRED =
"Referral Required"
- MEDICAL_RECORDS_REQUESTED =
"Medical Records Requested"
- TIMELY_FILING =
"Timely Filing"
- DUPLICATE_CLAIM =
"Duplicate Claim"
- INCORRECT_PLACE_OF_SERVICE =
"Incorrect Place of Service"
- INCORRECT_PATIENT_GENDER =
"Incorrect Patient Gender"
- BUNDLED =
"Bundled"
- EXCEEDED_BILLABLE_TIME =
"Exceeded Billable Time"
- INVALID_PROVIDER_INFORMATION =
"Invalid Provider Information"
- INVALID_DIAGNOSIS_CODE =
"Invalid Diagnosis Code"
- INCORRECT_PROCEDURE_CODE =
"Incorrect Procedure Code"
- INVALID_MODIFIER =
"Invalid Modifier"
- MISSING_NDC_CODE =
"Missing NDC Code"
- INVALID_INSURANCE_DATA =
"Invalid Insurance Data"
- NO_ACTIVE_COVERAGE =
"No Active Coverage"
- COORDINATION_OF_BENEFITS =
"Coordination of Benefits"
- INCORRECT_PAYER =
"Incorrect Payer"
- CREDENTIALING =
"Credentialing"
- NO_EFFECTIVE_CONTRACT =
"No Effective Contract"
- MISSING_W_9 =
"Missing W-9"
- MISSING_CONTRACT_LINKAGE =
"Missing Contract Linkage"
- NON_COVERED_BENEFIT =
"Non-Covered Benefit"
- EXPERIMENTAL_PROCEDURE =
"Experimental Procedure"
- NOT_MEDICALLY_NECESSARY =
"Not Medically Necessary"
- INFO_REQUESTED_FROM_PROVIDER =
"Info Requested from Provider"
- INFO_REQUESTED_FROM_PATIENT =
"Info Requested from Patient"
- BILLING_ERROR =
"Billing Error"
- UNKNOWN =
"Unknown"
- MAX_BENEFIT_REACHED =
"Max Benefit Reached"