Enter Denial and Adjustment Reasons by Code

When entering denials or adjustments, you typically select a reason from the Denial Reason drop-down list. The list of reasons available are the standard CMS denial reasons, which include denial codes. Refer to List of Frequently Used Denial Codes for specific denial code information. To facilitate entering these denial reasons, you have the option of entering denial codes rather than selecting a reason from the drop-down list. To do this, check the Display Reason by Code check box.

This check box remains checked for other EOB entries. You can uncheck it at any time.

Tip: Electronic Remittance Advice files (ERAs) use CMS denial codes. You will need to convert any denials sent on a paper EOB to a like CMS denial reason.

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