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Why was my request denied as too specific? |
I see Remittance Advice Remark Codes that have very specific payer or situational messages, but my request was denied as being too specific. Why is
this?
- The Remittance Advice Remark Codes began as a proprietary list created and supported for Medicare use only. The text of those original codes can be very specific. Once the list became an industry standard named in the HIPAA Rules, the decision was made that the text of all new codes would be generic enough for general use by multiple payers, for multiple benefit plans, or in multiple situations. Remittance Advice Remark Codes related to specific procedures, specific time requirements or specific data elements are severely restricted. All new requests are evaluated against this criterion.
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