Why are claims still denied when the narrative contains the information needed to process?
Generally if a claim is denied and notes are included on the claim, the information submitted was insufficient. Please review the Medicare Remittance Notice for details of which information was omitted. If the Medicare Remittance Notice Remark Codes are missing or difficult to understand, please check the claim status through our Interactive Voice Response (IVR) unit for a more detailed explanation of the denial. Please note that it is necessary to review the status of the claim line level to get full details. An IVR flow chart and script may be viewed at the following link: http://www.cignagovernmentservices.com/jc/help/contact/contactinfo.html. If, however, the information indicated on the remittance notice was present at submission, please contact customer service at 866.270.4909 for guidance.
