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7.2.2 DENIALS

If a provider receives a claim denial for one of the following reasons on the Remittance Advice, the provider can resubmit it as a Good Faith claim .

 

R/A Report Denial Code

Reason

029

Medicaid number doesn’t match recipient’s last name.

172

Recipient Medicaid ID number not eligible for dates of service.

281

 Recipient Medicaid ID number is incorrect.  Verify and correct the MA number and resubmit claim.

614

MA number doesn’t match recipient’s first name.

 

This page last updated in Release Number : 01/02

Release Date : 04/01/01

Effective Date : 04/01/01