What is denial code CO 183?

CO-183: The Referring Provider is not eligible to refer the service billed. N574: Our records indicate the ordering/referring provider is of a type/specialty that cannot order or refer. Please verify that the claim ordering/referring provider information is accurate or contact the ordering/referring provider.

What is a reason code?

Reason codes, also called score factors or adverse action codes, are numerical or word-based codes that describe the reasons why a particular credit score is not higher. The codes are often provided with credit score reports, or with adverse action reports issued after denial of credit.

What are adjustment reason codes?

An adjustment reason code is a two-digit alphanumeric code reported on a claim adjustment to identify the specific reason the claim is being adjusted. The Adjustment Reason Codes option is used to validate the adjustment reason code a provider can enter on a claim adjustment.

How to search the adjustment reason codes reason code?

How to Search the Adjustment Reason CodeLookup Document 1. Hold Control Key and Press F 2. A Search Box will be displayed in the upper right of the screen 3. Enter your search criteria (Adjustment Reason Code) 4. Click the NEXT button in the Search Box to locate the Adjustment Reason code you are inquiring on

When to use a non standard reason code?

This code is only used when the non-standard code cannot be reasonably mapped to an existing Claims Adjustment Reason Code, specifically Deductible, Coinsurance and Co-payment. 193 Original payment decision is being maintained.

When did CMS standardize reason codes and statements?

In 2015 CMS began to standardize the reason codes and statements for certain services. As a result, providers experience more continuity and claim denials are easier to understand.

What are the codes for denial of payment?

Payment denied/reduced because the payer deems the information submitted does not support this level of service, this many services, this length of service, this dosage, or this day’s supply. Notes: Split into codes 150, 151, 152, 153 and 154. Treatment was deemed by the payer to have been rendered in an inappropriate or invalid place of service.