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How do providers correct denied claims as a result of NCCI edits?

April 26, 2017Denied EDITS NCCI

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How do providers correct denied claims as a result of NCCI edits?

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There is no claim processing system override for NCCI edits. Claims that fail the NCCI edits will be denied and returned to the provider, who may submit an appeal for reconsideration of payment in excess of the normally allowed amount. Claims Inquiry Forms (CIFs) must not be submitted for claims denied as a result of NCCI edits.