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Thursday, July 15, 2010

Denial and action for N14 : Payment based on a contractual amount or agreement, fee schedule, or maximum allowable amount.

Denial Code
N14 : Payment based on a contractual amount or agreement, fee schedule, or maximum allowable amount.

Reason : 

MAXIMUM BENEFITS PAID BY PRIMARY INSURANCE
   
Action : 

When you receive the above denial from secondary insurance need to bill patient except, when the secondary insurance is Medicaid, PHP, Staywell, Health ease, St.Augstine, if Medicaid HMO then its an adjustment.


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