Search results

  1. S

    Wiki Professional Component claim denial

    The Denial code & reason: 97 : The benefit for this service is included in the payment/allowance for another service/procedure that has already been adjudicated. Usage: Refer to the 835 Healthcare Policy Identification Segment (loop 2110 Service Payment Information REF), if present.
  2. S

    the denial code & reason: 97 : The benefit for this service is included in the...

    the denial code & reason: 97 : The benefit for this service is included in the payment/allowance for another service/procedure that has already been adjudicated. Usage: Refer to the 835 Healthcare Policy Identification Segment (loop 2110 Service Payment Information REF), if present.
  3. S

    Wiki Professional Component claim denial

    Professional Component claims are getting bundled with Technical claims, I am using modifier 26 to separate from Technical claim still they insurance denying(Humana & Wellcare) Is there any other modifier need to use?
Top