Procedimientos. Please Indicate Mileage Traveled. Purchase of additional DME/DMS item exceeding life expectancy rRequires Prior Authorization. Please Resubmit Using Newborns Name And Number. More Than 5 Consecutive Calendar Days Of Continuous Care Are Not Payable. Billing Provider Type and Specialty is not allowable for the service billed. Denied. Billing Provider does not have required Certification Addendum on file. A valid Prior Authorization is required for Brand Medically Necessary Drugs. Denied. Claim Denied For Future Date Of Service(DOS). Additional Psychotherapy Is Not Considered Appropriate Or Inline With More Effective, Available Services. Denied/cutback. Reimbursement for this procedure and a related procedure is limited to once per Date Of Service(DOS). Medicare covered Codes Explanation Member ID has changed. Service(s) Denied By DHS Transportation Consultant. Please Correct And Resubmit. Non-scheduled drugs are limited to the original dispensing plus 11 refills or 12 months. The Comprehensive Community Support Program reimbursement limitations have been exceeded. Providers will find a list of all EOB codes used with the corresponding description on the last page of the Remittance Advice. Charges For Anesthetics Are Included In Charge For All Surgical Procedures. Billing Tips - Wellcare NC Claim Denied The Combined Medicare And Private Insurance Payments Equal Or Exceed The Lesser Of The And Medicare Allowable Amounts. Member In TB Benefit Plan. Healthcheck screenings or outreach limited to three per year for members between the age of one and two years. The Travel component for this service must be billed on the same claim as the associated service. Concurrent Services Are Not Appropriate. To access the training video's in the portal, please register for an account and request access to your contract or medical group. One or more Surgical Code Date(s) is missing in positions seven through 24. Review Billing Instructions. Services restricted to EPSDT clients valid only with a Full Scope, EPSDT-eligible Aid Code. snapchat chat bitmoji peeking. Discrepancy Between The Other Insurance Indicator And OI Paid Amount. CO/96/N216. Urinalysis And X-rays Are Reimbursed Only When Performed In Conjunction With An Initial Office Visit On Same Date Of Service(DOS). Denied. Please Indicate The Revenue Code/procedure Code/NDC Code For Which The Credit is To Be Applied. Member Is Eligible For Champus. Denied. Adjustment To Eyeglasses Not Payable As A Repair Service. Pharmaceutical Care Code must be billed with a payable drug detail or if a prescription was not filled, the quantity dispensed must be zero. Dates Of Service Must Be Itemized. This Procedure Is Limited To Once Per Day. These Urinalysis Procedures Reimbursed Collectively At The Maximum For Routine Urinalysis With Microscopy. Denied due to Claim Exceeds Detail Limit. The Revenue Code is not payable by Wisconsin Chronic Disease Program for the Date Of Service(DOS). The Medicare copayment amount is invalid. Subsequently hospital care services (CPT 99221-99223 or 99231-99233) will be denied when billed for the same date of service as observation services (CPT G0378, 99218-99220 or 99224-99226) for Bill Type 0130-013Z (hospital outpatient). First Other Surgical Code Date is required. The Member Has Shown No Significant Functional Progress Toward Meeting Or Maintaining Established & Measurable Treatment Goals Over A 6 Month Period. Denied. This Service Is A Resubmission Of A Service Previously Denied For Prior Authorization. Prior authorization is required for Maxalt when Maxalt or sumatriptan productshave not been reimbursed within 365 days. Claim or Adjustment received beyond 730-day filing deadline. In the above example the claim was denied with two codes, the Adjustment Reason Code of 16 and then the explanatory Remark Code of N329 (Missing/incomplete/invalid patient birth date). Qty And/or Detail Charge Do Not Divide Out Equally For Dates Of Service and/orQty Given. Explanaton of Benefits Code Crosswalk - Wisconsin The Request Can Only Be Backdated Up To 5 Working Days Prior To The Date Eds Receives The Request In Eds Mailroom If Adequate Justification Is Provided. Services not allowed for your Provider Type or for your Provider Type without a TB diagnosis. CNAs Eligibility For Nat Reimbursement Has Expired. Incorrect Liability Start/end DatesOr Dollar Amounts Must Be Corrected Through County Social Services Agency. Staywell is committed to continually improving its claims review and payment processes. Dental service is limited to once every six months. Denied. Please Correct And Resubmit. Questionable Long-term Prognosis Due To Poor Oral Hygiene. Denied. One or more Diagnosis Codes are not applicable to the members gender. Member first name does not match Member ID. The sum of the Accommodation Days is not equal to the sum of Covered plus Non-Covered Days, or the From and To Dates of Service cannot be the same. Value codes 48 Homoglobin Reading and 49 Hematocrit Reading, must have a zero in the far right position. Resubmit Using Valid Rn/lpn Procedure Codes And A Valid PA Number. Denied. 1. Incidental modifier is required for secondary Procedure Code. NDC- National Drug Code is invalid for the Dispense Date Of Service(DOS). Denied. Medicare Part A Services Must Be Resubmitted. PDN services billed on this claim exceed 12 hours/day per nurse, PDN services billed on this claim exceed 60 hours/week per nurse, PDN services billed on this claim exceed 24 hours/day per member. Claim Reduced Due To Member/participant Deductible. Claims may deny for a CT head or brain, CTA head, MRA head, MRI brain or CT follow-up when the only diagnosis on the claim is a migraine. Use This Claim Number For Further Transactions. Claim Is Pended For 60 Days. Risk Assessment/Care Plan is limited to one per member per pregnancy. qatar to toronto flight status. Denied. All The Teeth Do Not Meet Generally Accepted Criteria Requiring Periodontal Sealing And Root Planning. All ESRD clinical diagnostic laboratory tests must be billed individually to ensure that automated multi-chanel chemistry tests are paid in accordance with the Medicare Provider Reimbursement Manual (PRM) 2711. Medicare Paid The Total Allowable For The Service. Edentulous Alveoloplasty Requires Prior Authotization. Quantity indicated for this service exceeds the maximum quantity limit established by the National Correct Coding Initiative. The Change In The Lens Formula Does Not Warrant Multiple Replacements. Claims and Billing | NC Medicaid - NCDHHS 51.42 Board Directors Or Designees Statement & Signature Required OnThe Claim Form For Payment Of Functional Assessment. Request Denied Due To Late Billing. The To Date Of Service(DOS) for the Second Occurrence Span Code is required. Modifiers submitted are invalid for the Date Of Service(DOS) or are missing.. An ICD-9-CM Diagnosis Code of greater specificity must be used for the Sixth Diagnosis Code. Different Drug Benefit Programs. NCPDP Format Error Found On Medicare Drug Claim. Revenue code 0850 thru 0859 is not allowed when billed with revenue codes 0820thru 0829, 0830 thru 0839, or 0840 thru 0849. Healthcheck screenings or outreach is limited to six per year for members up to one year of age. The From Date Of Service(DOS) for the First Occurrence Span Code is required. If you are having difficulties registering please . Recoding/adjusting claim may result in a different DRG code assignmentand reimbursement. Dental X-rays Indicate A Dental Cleaning, Followed By Good Dental Care At Home, Would Be Sufficient To Maintain Healthy Gums. Only preferred drugs are covered for the member?s program, Only generic drugs are covered for the member?s program. Services Not Payable When Rendered To An Individual Aged 21-64 Who Is A Resident Of A Nursing Home Imd. All Home Health Services Exceeding 8 Hours Per Day Or 40 Or More Hours Per Week Require Prior Authorization. Claim Denied. Please watch future remittance advice. MLN Matters Number: MM6229 Related . Understanding your TRICARE explanation of benefits Home Health visits (Nursing and therapy) in excess of 30 visits per calendar year per member require Prior Authorization. These case coordination services exceed the limit. Back-up dialysis sessions are limited to three per lifetime. Second Surgical Opinion Guidelines Not Met. This claim is a duplicate of a claim currently in process. Please adjust quantities on the previously submitted and paid claim. When Billing For Basic Screening Package, Charge Must Be Indicated Under Procedure W7000. Claim Number Given Is Not The Most Recent Number. Please Correct Claim And Resubmit. Billing Provider ID is missing or unidentifiable. Denied. Denied due to Member Is Eligible For Medicare. Supplemental Payment Authorized By Department of Health Services (DHS) Due to aAudit. This Member Has A Current Approved Authorization For Intensive AODA OutpatientServices. Denied. One Visit Allowed Per Day, Service Denied As Duplicate. Dispense Date Of Service(DOS) is after Date of Receipt of claim. Denied. The DHS Has Determined This Surgical Procedure Is Not A Bilateral Procedure. Permanent Tooth Restoration/sealant, Limited To Once Every 3 Years Unless Narrative Documents Medical Necessity. Date Of Service/procedure/charges Billed On The Adjustment/reconsideration Request Do Not Match The Original Claim. Consent Form Is Missing, Incomplete, Or Contains Invalid Information. Contact The Nursing Home. Restorative Nursing Can Provide Follow-through, Based On Diagnosis Of Long-standing Nature, And The Amount Of Therapy. The Billing Providers taxonomy code in the header is invalid. Next step verify the application to see any authorization number available or not for the services rendered. Insufficient Documentation To Support The Request. The Service Performed Was Not The Same As That Authorized By . Revenue code is not valid for the type of bill submitted. Start: 01/01/2000 | Last Modified: 03/06/2012 Notes: (Modified 2/28/03, 3/6/2012) N5: Claim Denied. HMO Capitation Claim Greater Than 120 Days. Fourth Diagnosis Code (dx) is not on file. The Service Requested Is Covered By The HMO. Copayment Should Not Be Deducted From Amount Billed. SeniorCare member enrolled in Medicare Part D. Claim is excluded from Drug Rebate Invoicing. DX Of Aphakia Is Required For Payment Of This Service. A covered DRG cannot be assigned to the claim. HealthDrive Corporation Senior Reimbursement Specialist - Medical Effective 5/31/2019, we will introduce new Coding Integrity Reimbursement Guidelines. That is why we support our provider partners with quality incentive programs, quicker claims payments and dedicated market support. Procedue Code is allowed once per member per calendar year. The Procedure(s) Requested Are Not Medical In Nature. An ICD-9-CM Diagnosis Code of greater specificity must be used for the Fourth Diagnosis Code. Care Does Not Meet Criteria For Complex Case Reimbursement. Denied. Unable To Process Your Adjustment Request due to Financial Payer Not Indicated. Claim Has Been Adjusted Due To Previous Overpayment. Will Not Authorize New Dentures Under Such Circumstances. Effective July 15, 2021 through December 31, 2021: Temporary Relaxation of Prior Authorization . The dental procedure code and tooth number combination is allowed only once per lifetime. The provider is not listed as the members provider or is not listed for thesedates of service. X-rays and some lab tests are not billable on a 72X claim. The Total Number Of Hours Per Day Requested For AODA Day Treatment Exceeds Guidelines And The Request Has Been Adjusted Accordingly. Service Billed Exceeds Restoration Policy Limitation. This Report Was Mailed To You Separately. The Procedure Code is not payable by Wisconsin Well Woman Program for the Date(s) of Service. Claim Denied. Header From Date Of Service(DOS) is required. If authorization number available . Do not insert a period in the ICD-9-CM or ICD-10-CM codes. Only Four Dates Of Service Are Allowed Per Line Item (detail) For Each Procedure. The code next to this was 264, which was described on the back of Frank's EOB as "Over What Medicare Allows" Total Patient Cost: $15.00 - Frank's office visit copayment; Amount Paid to the Provider: $50.00 - the amount of money that Frank's Medicare Advantage Plan sent to Dr. David T. Provider Must Have A CLIA Number To Bill Laboratory Procedures. Services Billed Denied As Being Covered In The Payment For Day Rx Per Medical Day Treatment Guidelines. Auditory Screening with Preventive Medicine Visits. 191. Denied/Cutback. Please Resubmit Medicares Nursing Home Coinsurance Days As A New Claim RatherThan An Adjustment/reconsideration Request. Benefit code These codes are submitted by the provider to identify state programs. ACTION TYPE LEGEND: A Training Payment Has Already Been Issued For This Cna. Denied due to Provider Signature Date Is Missing Or Invalid. Denied. The Reimbursement Code Assigned To This Certification Segment Does Not Authorize a NAT Payment. Reason for Service submitted does not match prospective DUR denial on originalclaim. Reference: Transmittal 477, change request 3720 issued February 18, 2005. Reimbursement For This Certification, Test, Segment Has Been Issued To AnotherNF. Pricing Adjustment/ The submitted charge exceeds the allowed charge. One or more Surgical Code(s) is invalid in positions six through 23. Header To Date Of Service(DOS) is required. Denial Codes - RCM Revenue Cycle Management - Healthcare Guide Revenue codes 082X, 083X, 084X, 085X, 0800 or 0881 (X frequency not equal to 5) exist on an ESRD claim for a member who has selected method 1 or no method and the claim does not contain condition codes 71, 72, 73 ,74, 75, or 76. This claim must contain at least one specified Surgical Procedure Code. CO 197 Denial Code - Authorization or Pre-Certification missing Supervising Nurse Name Or License Number Required. A1 This claim was refused as the billing service provider submitted is: . The Members Clinical Profile/diagnosis Is Not Within Diagnostic Limitations for Psychotherapy Services. A WCDP drug rebate agreement for this drug is not on file for the Date Of Service(DOS). that provide either supplemental explanation for a monetary adjustment or policy information are required in the remittance advice transaction. Pricing Adjustment/ Inpatient Per-Diem pricing. The Service Requested Was Performed Less Than 3 Years Ago. Claim Explanation Codes | Providers | Excellus BlueCross BlueShield Has Manually Split The Dates Of Service To Reflect 2 Fiscal Years/Reimbursement Rates. WI Can Not Issue A NAT Payment Without A Valid Hire Date. Modifier Invalid: Modifiers Are No Longer Allowed For Procedure Code Billed. Member is not enrolled in /BadgerCare Plus for the Date(s) of Service. All Day Treatment Services For Members With Nursing Home Status Should Be Billed Under Procedure Code W8912(pre 10/1/03)/h2012(post 10/1/03) And Require PriorAuthorization. CO/96/N216. Occurance code or occurance date is invalid. Denied. New Prescription Required. This Dental Service Limited To Once Every Six Months, Unless Prior Authorized. Please watch for periodic updates. HTTP Status Code Connect Time (ms) Result; 2023-03-01 04:10:52: 200: 255: Page Active: Your latest EOB will be under Claims on the top menu. The Revenue Code is not reimbursable for the Date Of Service(DOS). Detail Rendering Provider certification is cancelled for the Date Of Service(DOS). A Fourth Occurrence Code Date is required. CPT/HCPCS codes are not reimbursable on this type of bill. Admission Denied In Accordance With Pre-admission Review Criteria. Mail-to name and address - We mail the TRICARE EOB directly to. Denied. Authorization For Surgery Requiring Second Opinion Valid For 6Months After Date Approved. This National Drug Code (NDC) has been terminated by CMS for the Date Of Service(DOS). Other Insurance Disclaimer Code Used Is Inappropriate For This Members Insurance Coverage. Claim Submitted To Good Faith Without Proper Documentation. Repackaging allowance is not allowed for unit dose NDCs. . Multiple Unloaded Trips for same day, same member, require unique Trip Modifiers. If A CNA Obtains his/her Certification After Theyve Been Hired By A NF, A NF Has A Year From Their Certification, Test, Date To Submit A Reimbursement Request To . Acknowledgement Of Receipt Of Hysterectomy Info Form Is Missing, Incomplete, Or Contains Invalid Information. Restorative Nursing Involvement Should Be Increased. This Adjustment/reconsideration Request Was Initiated By . The Medical Need For This Service Is Not Supported By The Submitted Documentation. Day Treatment exceeding 120 hours per month is not payable regardless of PriorAuthorzation. Pediatric Community Care is limited to 12 hours per DOS. This Procedure, When Billed With Modifier HK, Is Payable Only If The Member Is Under The Age Of 19. Pricing Adjustment/ Reimbursement reduced by the members copayment amount. WellCare 5010 837P FFS Claims Companion Guide Pricing Adjustment/ Usual & Customary Charge (UCC) flat fee pricing applied. Contact. PDF Claim Adjustment Reason Codes (CARCs) and Enclosure 1 - California Type of Bill indicates services not reimbursable or frequency indicated is notvalid for the claim type. This Information Is Required For Payment Of Inhibition Of Labor. Resubmit Complete And/or Second Page Of Medicares EOMB Showing All Total And Payments. This Claim Is Being Reprocessed As An Adjustment On This R&s Report. How do I view my EOB online? | Medicare | bcbsm.com An ICD-9-CM Diagnosis Code of greater specificity must be used for the Fifth Diagnosis Code. Service not payable with other service rendered on the same date. The Procedure Code has Diagnosis restrictions. Please Furnish A Breakdown Of Your Procedure Code And Charge In Question GivenOn The Adjustment/reconsideration Request. Exceeds The 35 Treatment Days Per Spell Of Illness. The initial rental of a negative pressure wound therapy pump is limited to 90 days; member lifetime. This Check Automatically Increases Your 1099 Earnings. NDC was reimbursed at AWP (Average Wholesale Price) (Average Wholesale Price) rate. Medicare Deductible Is Paid In Full. Goals Are Not Realistic To The Members Way Of Life Or Home Situation, And Serve No Functional Or Maintenance Service. A SeniorCare drug rebate agreement is not on file for this drug for the Date Of Service(DOS). The Procedure Code Indicated Is For Informational Purposes Only. If some of the services were previously paid, submit an adjustment/reconsideration request for the paid claim. Professional Service code is invalid. Service Must Be Billed On Drug Claim Form Utilizing NDC Codes. To allow for multiple biopsies for investigation and diagnosis of certain disease entities, WellCare applies max units editing for CPT code 88305 based on gastrointestinal (GI) and prostate-related diagnoses. Second modifier code is invalid for Date Of Service(DOS) (DOS). Please note that the submission of medical records is not a guarantee of payment. Procedure Code or Drug Code not a benefit on Date Of Service(DOS). Complex Care Services Are Limited To One Per Date Of Service(DOS) Per Member. This Procedure Code Is Not Valid In The Pharmacy Pos System. Refer to the DME area of the Online Handbook for claims submission requirements for compression garments. This service is not payable for the same Date Of Service(DOS) as another service included on the same claim, according to the National Correct Coding Initiative. Medical Necessity For Food Supplements Has Not Been Documented. These coding rules are published within the Medicare Claims Processing Manual, Current Procedural Terminology (CPT) by the American Medical Association (AMA) and ICD-10-CM guidelines governed by Medicare and Medicaid Services (CMS) and the National Center for Health Statistics (NCHS). Patient Status Code is incorrect for Long Term Care claims. The Documentation Submitted Does Not Substantiate Additional Care. There are approximately 20 Medicaid Explanation Codes which map to Denial Code 16. Dispensing fee denied. Claim Previously/partially Paid. The Sixth Diagnosis Code (dx) is invalid. The detail From Date Of Service(DOS) is after the detail To Date Of Service(DOS). Services Denied In Accordance With Hearing Aid Policies. Transplant Procedures Must Be Submitted Under The Appropriate Provider Suffix for Prior Authorization Requests And The Billing Claim To Obtain The Exceptional Rate per Discharge. Please File With Champus Carrier. An ICD-9-CM Diagnosis Code of greater specificity must be used for the Diagnosis Code in posistion 10 through 24. The Service Requested Is Inappropriate For The Members Diagnosis. CPT Code And Service Date For Member Is Identical To Another Claim Detail On File For Provider On Claim. The quantity billed of the NDC is not equally divisible by the NDC package size. Claim Must Indicate A New Spell Of Illness And Date Of Onset. Fourth Other Surgical Code Date is required. Professional Components Are Not Payable On A Ub-92 Claim Form. Prior authorization is required for Advair or Symbicort if no other Glucocorticoid Inhaled product has been reimbursed within 90 days. Condition code 70-76 is required on an ESRD claim when Influenza/PPV/HEP B HCPCS codes are the only codes being billed with condition code A6. Member is assigned to an Inpatient Hospital provider. Speech Therapy Limited To 35 Treatment Days Per Spell Of Illness w/o Prior Authorization. Hearing Aid Batteries Are Limited To 12 Monaural/24 Binaural Batteries Per 30-day Period, Per Provider, Per Hearing Aid. Invalid Provider Type To Claim Type/Electronic Transaction. The Other Payer Amount Paid qualifier is invalid for . wellcare eob explanation codes. This limitation may only exceeded for x-rays when an emergency is indicated. A Total Charge Was Added To Your Claim. Incorrect Or Invalid National Drug Code Billed. This Claim HasBeen Manually Priced Using The Medicare Coinsurance, Deductible, And Psyche RedUction Amounts As Basis For Reimbursement. DRG cannotbe determined. This member is eligible for Medication Therapy Management services. Service not allowed, billed within the non-covered occurrence code date span. Please Furnish A NDC Code And Corresponding Description. You can choose to receive only your EOBs online, eliminating the paper . Provider Not Eligible For Outlier Payment. Acute Care General And Specialty Hospitals Are Subject To Pre-admission Requirements Or The Pre-admission Review Number Indicated Is Invalid. Critical care performed in air ambulance requires medical necessity documentation with the claim. The Third Occurrence Code Date is invalid. This drug/service is included in the Nursing Facility daily rate. Rqst For An Acute Episode Is Denied. This service is payable at a frequency of once per 12-month period, per provider, per hearing aid. Prescriber Number Supplied Is Not On Current Provider File. Modification Of The Request Is Necessitated By The Members Minimal Progress. Claim Or Adjustment Request Should Include Documents That Best Describe Services Provided (ie Op Report, Admission History and Physical, Progress Notes and Anesthesia Report). Pregnancy Indicator must be "Y" for this aid code. No Financial Needs Statement On File. Claims For Sterilization Procedures Must Reflect ICD-9 Diagnosis Code V25.2. For 2020, WellCare is adding 68 new Medicare Advantage plans for a total of 261 plans with $0 or low monthly plan premiums. Members File Shows Other Insurance. The Value Code and/or value code amount is missing, invalid or incorrect. Denied. The Procedure Requested Is Not Allowable For The Process Type Indicated On TheRequest. The sum of all Value Code amounts must be numeric and less than or equal to 999.999.999. An amount in the Gross Amount Due field and/or Usual and Customary Charge field is required. Please Correct And Resubmit. The Request May Only Be Back-dated Two Weeks Prior To Receipt By EDS. Please Itemize Services Including Date And Charges For Each Procedure Performed. Do not leave blank fields between the multiple occurance codes. Denied/Cutback. Member is covered by a commercial health insurance on the Date(s) of Service. Outside Lab,element 20 On CMS 1500 Claim Form Must Be Checked Yes When Handling Charges Are Billed. Outpatient Services To Be Billed As Inpatient Ancillaries When Same Day Stay Occurs Please File An Adjustment/reconsideration Request To Correct Inpatiet Billing. Additional servcies may be billed with H0046 and will count toward mental health and/or substance abuse treatment policy limits for prior authorization. Member is enrolled in Medicare Part A and/or Part B on the on the Dispense Dateof Service. Denied/cutback. Training Completion Date Is Not A Valid Date. As a provider, you have access to a portal that streamlines your work, keeps you up-to-date more than ever before and provides critical information. Due To Miscellaneous Or Unspecified Reason, Adjustment/Resubmission was initiated by Provider, Adjustment/Resubmission was initiated by DHS, Adjustment/Resubmission was initiated by EDS, Adjustment Generated Due To Change In Patient Liability, Payout Processed Due To Disproportionate Share. Personal care subsequent and/or follow up visits limited to seven per Date Of Service(DOS) per member. Private Duty Nursing Beyond 30 Hrs /Member Calendar Year Requires Prior Authorization. This National Drug Code (NDC) is only payable as part of a compound drug. PDF Crosswalk - Adjustment Reason Codes and Remittance Advice (RA) Remark No Action Required. What to Expect with WellCare CMS (UPDATED-60 days in) A Rendering Provider is not required but was submitted on the claim. Services billed are included in the nursing home rate structure. This National Drug Code is not covered under the Core Plan or Basic Plan for the diagnosis submitted. These are EOB codes, revised for NewMMIS, that may appear on your PDF remittance advice. A Second Surgical Opinion Is Required For This Service. Service not allowed, benefits exhausted occurrence code billed. Member eligibility file indicates that BadgerCare Plus Benchmark, CorePlan or Basic Plan member. The submitted claim contains value code 68 and 48 or 49 but does not contain revenue code 0634 or 0635 and HCPCS Q4055. Claim Detail Denied For Invalid CPT, Invalid CPT/modifier Combination, Or Invalid Type Of Quantity Billed. Pricing Adjustment/ Third party liability deducible amount applied. Multiple Requests Received For This Ssn With The Same Screen Date. Please Clarify Services Rendered/provide A Complete Description Of Service. Handwritten Changes/corrections On The Medicare EOMB Are Not Acceptable. Check Your Current/previous Payment Reports forPayment. Service Denied, refer to Medicares Billing and/or Policy Guidelines.