What does denial code A1 mean?
Asked by: Aidan Gulgowski | Last update: September 12, 2025Score: 4.5/5 (33 votes)
What is an A1 denial code?
Denial code A1 is a claim or service denial. It means that a remark code must be provided, which can be a NCPDP Reject Reason Code or a Remittance Advice Remark Code that is not an ALERT. This code should be used when a more specific Claim Adjustment Reason Code is not available.
What does code A1 mean?
Understanding Honda Service Code A1
The letter “A” indicates the need for an oil change, while the sub-code “1” signals that it's time for a tire rotation. These routine tasks play a crucial role in maintaining your vehicle's performance and longevity.
What does condition code A1 mean?
A1. This code is to be used for services related to early and periodic screening diagnosis and treatment.
What is the reason code 1 for claim adjustment?
Reason Code 1: The procedure code is inconsistent with the modifier used or a required modifier is missing.
3 Common Denial Codes in Medical Billing
What is the denial code 1?
Denial code 1 is for Deductible Amount. It means the patient needs to pay a certain amount before insurance coverage kicks in.
What does PR-1 mean?
The CARC codes PR 1, 2, or 3 reflects patient responsibility (PR) as follows: PR 1- deductible, PR 2-co-insurance and PR-3-co-payment. This information is important so that patients understand why their health plan believes they owe an out-of-pocket payment and to distinguish these amounts from a balance bill.
What is the status code A1 19?
REJECTION CODE CATEGORY CODE DESCRIPTION STATUS CODE DESCRIPTION ENTITY CODE DESCRIPTION CARECENTRIX EXPLANATION PROVIDER REMEDIATION STEPS A1:19 The claim/encounter has been received. This does not mean that the claim has been accepted for adjudication. Acknowledges receipt of claim/encounter.
What does value code A2 mean?
A2. Coinsurance Payer A. The amount the provider assumes will be applied toward the patient's coinsurance amount involving the indicated payer. For Medicare, use this code only for reporting Part B coinsurance amounts.
What are the three accident occurrence codes?
What does my A1 mean?
Definition of 'A1'
1. in good health; physically fit. 2. informal. first-class; excellent.
What does service A1 mean?
When your Maintenance Minder tells you A1 service is due soon, the “A” means your car needs an oil change and the “1” means it's time for a tire rotation. A1 service on a Honda is easy when you have Honda Universe taking care of your vehicle. Our Honda maintenance team knows your model inside and out.
What does everything is A1 mean?
Britannica Dictionary definition of A1. informal + somewhat old-fashioned. : very good or excellent.
What does occurrence code A1 mean?
A1-Birthdate of Primary Subscriber. B1-Birthdate of Second Subscriber. C1-Birthdate of Third Subscriber. A2-Effective Date of the Primary Insurance Policy.
What does medicaid exception code A1 mean?
Exception Codes: A1 indicates the member is in outreach or enrolled with a Care Management Agency (CMA). A2 indicates the member is in outreach or enrolled with a Health Home (HH). Within ePACES, the actual A1/A2 codes are displayed within the “Medicaid Exceptions” field.
What are the denial codes?
Denial codes are alphanumeric codes that are assigned by insurance companies (payers), whether private or public, to show why a specific insurance claim was denied—in other words, not paid by the insurance company. For example, CO-11 means “Error in Coding.” CO-18 means “Duplicate Claim.”
What does A2 error mean?
CODE A2, IDE Detect, error code means it's having trouble detecting or reading connected drives.
What common errors can prevent clean claims?
- Inaccurate patient information. One of the most frequent causes of claim denials is inaccurate patient information. ...
- Incorrect coding. Medical coding errors are another significant reason for claim denials. ...
- Missing claim documentation.
What is a status B code?
Bundled Service. Procedure codes designated by the CMS National Physician Fee Schedule Relative Value. File with a status indicator of “B.” CMS defines these codes as “Payment for covered. services is always bundled into payment for other services not specified.”
What is A1 denial?
Code. Description. Reason Code: A1. Claim/Service denied. At least one Remark Code must be provided.
What is status code 1 error?
It can be “-1” if the connection was aborted before a complete request could be received or a bad request was received. It should always be very small because a request generally fits in one single packet.
What is billing error code M1?
M1 Maximum fee allowed or maximum number of service has been reached Resubmit alternate fee code or write-off fee code if not payable. MR Minimum service requirements have not been met Refer to Schedule of Benefits for billing rules of specific fee code.
What is the OA 1 denial code?
OA-1 Code – Claim Denied As Duplicate This is another code for duplicate claims.
What is a co 40 denial code?
The CO 40 denial code indicates that a service or procedure isn't covered by insurance because it's considered "experimental" or "investigational." This code suggests the insurance company doesn't believe the procedure is medically necessary or proven effective.
What is a 15 denial code?
CO-15 – MISSING OR INVALID AUTHORIZATION NUMBER
Denial code CO-15 is used if you give the insurance company the wrong authorization number for a service or procedure.