The 5 most common explanatory codes that our users get from a rejection of a claim are as follows:
K3
Processed according to the description of the fee item, or the note relating to the fee item, in the Payment Schedule.
FB
This is a duplicate claim. An identical claim is being processed.
BH
This claim will be processed on a future remittance statement. Please do not re-bill.
KH
One 00114 is paid every two weeks for care provided in a long-term care institution (eg. nursing home, intermediate care facility) unless supported by an explanation.
LP
Fee items 01151 and 13052 are not applicable when performed in conjunction with other anesthetic services.
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