Kaiser permanente denial codes

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Select Map Options. Try Now. All rights reserved. BestPlaces Mobile App. Female Population. Male Population. Median Age. Population - Population Density. Land Area. Water Area. Native American. Hawaiian, Pacific Islander.

Other Race. Two or More Races. Married Population. Currently Married. Married but Separated. Single Population. Never Married. Resubmit the claim with valid procedure code. Check to see the indicated modifier code with procedure code on the DOS is valid or not? Resubmit with valid modifier Denial Code - described as "The referring provider is not eligible to refer the service billed".

Check to see, if patient enrolled in a hospice or not at the time of service? Deductible Amount. Coinsurance: Percentage or amount defined in the insurance plan for which the patient is responsible. Description for Denial code - 4 is as follows "The px code is inconsistent with the modifier used or a required modifier is missing".

Ask the same questions as denial code - 5, but here need check which procedure code submitted is incompatible with patient's age? Ask the same questions with representative as denial code - 5, but here check which procedure code submitted is incompatible with patient's gender.

Ask the same questions as denial code - 5, but here check which procedure code submitted is incompatible with provider type. The Diagnosis Code is inconsistent with the patient's age. Same as denial code - 11, but here check which dx code submitted is incompatible with patient's age May I know which Diagnosis code invalid for the Patient age?

The Diagnosis Code is inconsistent with the patient's gender. Ask the same questions as denial code 11, but here check which DX code submitted is incompatible with patient's gender May I know which Diagnosis code invalid with the Patient Gender? Denial code - 11 described as the "Dx Code is in-consistent with the Px code billed". The Diagnosis code is inconsistent with the provider type.

Same as denial code - 11, but here check which DX code submitted is incompatible with provider type. Denial code - Denial Code If the claim denied incorrectly and rep disagreed to the claim back for reprocessing Ge the appeal information, if claim needs to be appealed 6 Get the Claim number of Duplicate Claim as well as Original Claim and Calreference number. Denial Code - Denial code 26 defined as "Services rendered prior to health care coverage".

Denial code 27 described as "Expenses incurred after coverage terminated". Coverage not in effect at the time the service was provided. Denial code - 29 Described as "TFL has expired". TFL- Time filing limit to submit the claim.