How do I identify ALLOWED & DENIED Non-Institutional (Part B) Claims?
ALLOWED CLAIMS are identified by checking the Carrier Claim Payment Denial Code in the fixed portion of the record for the values of ‘1’ through ‘9’ or ‘A’ or ‘B’. DENIED CLAIMS are identified by checking the Carrier Claim Payment Denial Code in the fixed portion of the record for the values of ‘0’, ‘D’, ‘P’, ‘T’, ‘U’, ‘V’, ‘X’ or ‘Y’.
