CO B7 Provider was not certified/eligible to be paid for this procedure/service on this date service
(THIS PHYSICIAN/SUPPLIER IS NOT ELIGIBLE TO RECEIVE PAYMENT)
Resources/tips for avoiding this denial
Services were denied because the date of service(s) on the claim is prior to the effective date or after the termination date of the Medicare enrollment of the billing provider who appears on the claim.
• Ensure to submit only claims for services during which the provider had active Medicare billing privileges.
• If services were provided prior to or after a provider's Medicare billing privileges were active, this denial will be received.
Tips to correct the denied claim
Verify the correct date of service(s) appears on your Medicare Remittance Advice (RA).
• If the date of service(s) on the RA is not correct, the procedures for correcting claims errors should be followed.
• Clerical error reopening requests to correct the date of service can be performed.
• If the date of service(s) is correct, there may be an issue with the effective or termination date of the provider’s Medicare billing number.
0732 Servicing Provider Invalid
Verify the 10 digit number entered for the servicing provider.
0022 Servicing Provider is Not Eligible to Bill this Payment Request Type
The servicing provider billed on the claim is not eligible to bill this claim.
1357 NPI Servicing Provider Not on File
Verify the 10 digit NPI entered for the servicing provider.
0731 Servicing Provider Not Eligible on DOS
The servicing provider was not eligible on the date of service. Contact Provider Enrollment Unit.
0757 Servicing Provider Can Not be a Group Provider
The servicing provider number used on your claim can’t be a group NPI number.
0756 Billing Provider is not a Group Provider
The billing provider must be enrolled as a group provider. Contact Provider Enrollment
0730 Servicing Provider Not a Member of the Group
The servicing provider is not a member of the group provider, Contact Provider Enrollment
0480 Not CLIA Certified to perform procedure
check that the CLIA number used on the claim is certified to perform the procedure.
(THIS PHYSICIAN/SUPPLIER IS NOT ELIGIBLE TO RECEIVE PAYMENT)
Resources/tips for avoiding this denial
Services were denied because the date of service(s) on the claim is prior to the effective date or after the termination date of the Medicare enrollment of the billing provider who appears on the claim.
• Ensure to submit only claims for services during which the provider had active Medicare billing privileges.
• If services were provided prior to or after a provider's Medicare billing privileges were active, this denial will be received.
Tips to correct the denied claim
Verify the correct date of service(s) appears on your Medicare Remittance Advice (RA).
• If the date of service(s) on the RA is not correct, the procedures for correcting claims errors should be followed.
• Clerical error reopening requests to correct the date of service can be performed.
• If the date of service(s) is correct, there may be an issue with the effective or termination date of the provider’s Medicare billing number.
0732 Servicing Provider Invalid
Verify the 10 digit number entered for the servicing provider.
0022 Servicing Provider is Not Eligible to Bill this Payment Request Type
The servicing provider billed on the claim is not eligible to bill this claim.
1357 NPI Servicing Provider Not on File
Verify the 10 digit NPI entered for the servicing provider.
0731 Servicing Provider Not Eligible on DOS
The servicing provider was not eligible on the date of service. Contact Provider Enrollment Unit.
0757 Servicing Provider Can Not be a Group Provider
The servicing provider number used on your claim can’t be a group NPI number.
0756 Billing Provider is not a Group Provider
The billing provider must be enrolled as a group provider. Contact Provider Enrollment
0730 Servicing Provider Not a Member of the Group
The servicing provider is not a member of the group provider, Contact Provider Enrollment
0480 Not CLIA Certified to perform procedure
check that the CLIA number used on the claim is certified to perform the procedure.
No comments:
Post a Comment