Co 183 denial code description. Enhance your practice and navigate billing with confidence.

Co 183 denial code description. It is used with Group Code OA, except in cases where state workers' compensation regulations require CO. Nov 28, 2024 · Denial code 256 is related to contractual obligations, indicating a specific service is not payable based on the terms defined in the managed care contract. Dec 4, 2024 · CO 15 Denial Code – Description Denial code 15 is a Claim Adjustment Reason Code (CARC) that the insurance payer sends to the healthcare provider to explain that the authorization number on the claim form is either incorrect, invalid, or missing. Jan 24, 2020 · CO 27 Denial Code – Coverage terminated before expenses incurred: Claims will be denied by Insurance companies with denial code CO 27, when the health care services delivered by health care provider to patient after the payer coverage ended. This blog aims to shed light on the meaning and significance of various payment posting codes, such as CO, OA, PI, and PR, as well as common denial codes like CO 22, PR 31, PR 27, PR 204, and CO 29. May 24, 2010 · Medicaid Claim Denial Codes - List 2Medicaid Claim Denial Codes 129 Payment denied - Prior processing information appears incorrect. It indicates that the patient's insurance claim was denied due to an unpaid or incorrect co-payment. Denial code 181 is an indication that the procedure code used for a specific healthcare service was deemed invalid on the date it was provided. G-1 DENIAL CODES Understand the most common denial reason codes and what triggered the denial. 4027 THE DIAGNOSIS CODE IS INVALID FOR THE REQUESTED START DATE OR DATE OF RECEIPT. Jun 13, 2025 · CO 13 Denial Code Description The official definition of denial code 13 is “The date of death precedes the date of service. Verify claim info or contact the provider for accuracy. Understand common denial reasons, how to address them, and tips for reducing claim rejections for improved revenue recovery Denial code 163 is used when the attachment or other required documentation referenced on the claim was not received by the payer. Oct 3, 2024 · CO-150 Meaning: Also related to medical necessity, this denial code indicates that the level of care or service provided was not justified based on the medical information submitted. Description Denial Code 187 is a Claim Adjustment Reason Code (CARC) that indicates the payment for the billed service has been denied because it is being allocated towards the patient’s Consumer Spending Account. Aug 6, 2024 · In the revenue cycle management of healthcare services, denial codes are used to indicate why a claim was denied or rejected by an insurance company or payer. Every authorization denial costs your practice: $350+ in lost revenue per claim 6-8 staff hours spent on appeals 45-60 day payment delays that strain cash flow Patient dissatisfaction from unexpected bills 5 Root Causes of CO242/CO243 Denials (And How to Fix Them) 1. Pay attention to action that you need to make in order for the claims to get Denial code 8 means the procedure code doesn't match the provider's specialty. Remark code N767 indicates a claim won't be processed until the provider enrolls in the Medicaid program of the member's state. Below are a list of common denial claim adjustment reason codes and remittance advice remark codes (CARCs and RARCs) with a description on how to resolve the denial. Note: New as of 2/97 133 The disposition of this claim/service is pending Denial code 151 is when the payer believes that the information provided does not justify the number or frequency of services. CO : Contractual Obligations denial code list CO 15 Payment adjusted because the submitted authorization number is missing, invalid, or does not apply to the billed services or provider. This determination means that the insurance provider does not consider the services or procedures performed as essential for the diagnosis or treatment of the patient’s treatment, based on their specific policies and guidelines. Jun 27, 2011 · Group Code Code Description PR 1 Deductible Amount PR 2 Coinsurance Amount PR 3 C Denial code 197 means that the precertification, authorization, notification, or pre-treatment requirement was not fulfilled or was absent. The denial codes cover a wide range of reasons for denying claims, such as services being outside of an authorization period, exceeding benefit limits, invalid codes or providers, and non-covered benefits or Jun 13, 2024 · Denial codes in medical billing are assigned to claims that can't be processed, and explain why insurance can't cover a patient's costs. It’s triggered when insurers detect matching details in two claims. Mar 13, 2025 · You can find the list of all claim adjustment reason code along with their detailed description and current status. Identify next steps that are needed to address the most common denial reason. Dec 6, 2019 · Denial Codes in Medical Billing / Remit Codes -Solutions or Questions need to ask with Insurance representative. Learn how to identify, correct, and prevent these errors for faster reimbursements. Use this table to help determine why a claim was denied by IBHIS. We are gettting numerous laboratory denials with this code 183 indicating * The referring provider in not eligible to refer the service billed* We have looked online and see that as of 1/6/14 there were changes made. Check the 835 Healthcare Policy Identification Segment for more details. Describe the Pre-adjudication process and how to utilize it to reduce billing denials. Here are some common denial codes and their typical meanings. Jan 1, 1995 · These codes describe why a claim or service line was paid differently than it was billed. Denial Code 193 means that the original payment decision is being maintained. CO-231 Denial Code: Mutually Exclusive Same-Day Procedures Discover essential insights on the CO-231 Denial Code code for health professionals. Dec 11, 2024 · The CO 24 denial code notifies that the claim was denied because the charges for the service are covered under a capitation agreement or a managed care plan. Medicaid EOB Code Finder - Search your medicaid denial code 19 and identify the reason for your claim denials Sep 15, 2024 · In this video, I walk you through a real-world example of how I use HippoScribe to quickly resolve a Medicare claim denial using reason code CO 183. Description Denial Code 181 is a Claim Adjustment Reason Code (CARC) and is described as ‘Procedure code was invalid on the date of service’. It can be resolved through error rectification. Denial Code 186 means that a claim has been denied due to a level of care change adjustment. NULL 016 Thank you. Note: New as of 2/97 132 Prearranged demonstration project adjustment. In this article, we will explore the description of denial code 183, common reasons for its occurrence, next steps to resolve the denial, how to avoid it in the future, and provide examples of denial code 183 cases. Aug 15, 2018 · TRICARE Systems Manual 7950. Description: Denial code CO 107 refers to “The related or qualifying claim/service was not identified on this claim. Below you can find the description, common reasons for denial code 181, next steps, how to avoid it, and examples. May 14, 2025 · The CO‑183 denial code serves as a critical indicator that a provider is ineligible to refer a service, which can hinder reimbursement for healthcare claims. CO 0014 CODE INDICATING SUPERVISING PROFESSIONAL IS MISSING/INVALID A1 Claim/Service denied. In 2024, common denial codes reflect ongoing challenges and changes in the healthcare industry. CO-4: The procedure code is inconsistent Jan 31, 2025 · A CO 5 denial code is triggered when the procedure code or bill type is inconsistent with the place of service. The answer to the common question “Why was my claim denied?” can almost always be Improve your claim rejection and denial rates by learning EOB lingo. Denial code 182 is indicating that the procedure modifier used on the date of service was invalid. The tool will provide common reasons for the denial and/or rejection, resolutions, and helpful sources/references (not all-inclusive). Denial based on the contract and as per the fee schedule amount. This document lists 79 denial codes that may appear on Explanations of Payment (EOPs) or Remittance Advices (RAs), along with a brief description and sample denial language for each code. As a result, the claim is being denied. The letters preceding the number codes identify: Contractual Obligation (CO), Correction or reversal to a prior decision (CR), and Patient Responsibility (PR). CO 23 denial code means in Medical Billing and Coding is Indicates the impact of prior payers(s) adjudication, including payments and/or adj Struggling with medical billing rejections? Learn all about denial codes, why claims fail, and how to avoid them with with our expert guide. Dec 31, 2024 · Submitting claims for non-covered charges triggers denial code CO 96. Denial code 183 means the referring provider is not authorized to refer the service billed. Note: Changed as of 2/01 130 Claim submission fee. HEALTH FIRST COLORADOAPPENDIX N Revised: 05/2017 Page 4 Denial Code Long Description Claim Denial/Rejection Tool This tool is designed to provide customers with additional details related to the CARCs/RARCs received on the Remittance Advices. Jul 9, 2025 · By understanding and acting on denial codes for medical billing, providers can improve claim success rates, speed up reimbursements, and protect their bottom line. The format is always two alpha characters. Denial code 186 is a level of care change adjustment that may result in a claim being denied by insurance companies. Apply denial troubleshooting techniques to the Pre-adjudication validation errors. May 17, 2023 · Medicare denial codes, also known as Remittance Advice Remark Codes (RARCs) and Claim Adjustment Reason Codes (CARCs), communicate why a claim was paid differently than it was billed. Jul 14, 2025 · CO 97 denial code means a service is not separately payable as it's bundled with another. Denial code 183 means the referring provider is not authorized to refer the service billed. Description Denial Code 193 is a Jan 29, 2025 · CO-18 Denial Code refers to a claim denial with the remark code “Duplicate Claim/Service”. Denial code 184 means the provider is not authorized to prescribe the service. Click Here if this denial given by Medicare insurance CO 183 denial code was described why a claim or service line was paid differently than it was billed. These codes serve as a means of communication between healthcare providers, insurance companies, and other entities involved in the reimbursement process. While the prefix indicates the general category of the issue (e. Top 10 Denial Reason Codes in Medical Billing: [Denial Code CO 27] – The claims will be denied if the patient coverage not effective at the time of Date of service (DOS). Reason codes appear on an EOB to communicate why a claim has been adjusted. Please do share your feedback and suggestions to improve this tool. If it is still missing then inform the same to client. For CO denial code, We could not bill the This is the complete list of denial codes (Claim Adjustment Reason Codes) with an explanation of each denial. Apr 22, 2014 · Any help would be Greatly appreciated. Avoid late claim denials and improve revenue cycle with smart strategies. Oct 14, 2014 · Data Requirements - Adjustment/Denial Reason CodesFIGURE 2. Did you receive a code from a health plan, such as: PR32 or CO286? If so read About Claim Adjustment Group Codes below. G-1 DENIAL CODES FIGURE 2. I explai Jan 1, 1995 · These codes convey the status of an entire claim or a specific service line. My question is do we need to go in and Jan 1, 1995 · HomeClaim Adjustment Reason Codes (Denials) Denial Codes List : The "Denial Code List" serves as a comprehensive and invaluable resource for healthcare providers, billers, and coders. When you receive a CO 13 denial, it indicates that the insurance payer’s records show the patient was deceased before the service date mentioned on your claim. 4031 THE PROCEDURE SUBMITTED IS NOT APPROPRIATE FOR CLIENTS GENDER. Avoid the CO 22 denial code by submitting the medical claim to the right payer and enjoy timely reimbursement. May 1, 2022 · Last Update 5/1/2022 The Claim Adjustment Group Codes are internal to the X12 standard. Dec 4, 2023 · Denial codes and remark codes are classification systems used in the healthcare industry to provide information regarding the status of a claim submission. The CO 15 denial code is represented with the Group Code ‘CO’ to inform the provider that a breach of The Integrated Behavioral Health Information System (IBHIS) Denial and Adjustment Code list has been updated with three new codes and is now available online. Oct 2, 2023 · Payment posting is a crucial aspect of the healthcare billing process. Adapt to the evolving landscape to ensure the sustainability and success of your healthcare practice. NULL 014 Maximum 1 service unit allowed for same day/diagnosis. Learn its causes and how to resolve it. Providers in DC, DE, MD, NJ & PA JL Home Medical Review Part B Frequently Used Denial Reasons Denial Code 184 is a specific Claim Adjustment Reason Code (CARC) that signifies that the prescribing or ordering provider is not eligible to perform or order the service being billed. This change to be effective 6/1/2007: At least one Remark Code must be provided (may be comprised of either the Remittance Advice Remark Code or NCPDP Reject Reason Code. This means that the modifier code attached to a specific procedure code was either incorrect or not recognized by the payer. Most of the commercial insurance companies the same or similar denial codes. Learn when it’s triggered and how to prevent or resolve this denial. If you want to know how to fix a denial, click on the link which will lead to a post that explains how to address the denial code. Aug 26, 2025 · Learn about CO 50 denial code in medical billing, its key causes, examples, resolution tips, and prevention strategies to avoid costly claim rejections. Denial code 187 is for Consumer Spending Account payments, like Flexible Spending Account or Health Savings Account, that were not approved. The following is a list of reason Denial code 251 means the documentation received was incomplete. See the following link for Specialty’s that can order or refer. Medicaid EOB Code Finder - Search your medicaid denial code 468 and identify the reason for your claim denials Using NGS claim data for 2024, we’ll share the most common claim denial reasons for preventive services and offer solutions and resources to help prevent errors for future claims. CO 22 Payment adjusted because this care may be covered by another payer per coordination of benefits. The four group codes you could see are CO, OA, PI, and PR. Denial code 3 is for co-payment amount. Upon review, it was determined that this claim was processed properly. Oct 20, 2024 · Denial codes are alphanumeric identifiers used by insurance companies to communicate why a claim has been denied or rejected. ) Jul 1, 2024 · Final Thoughts Denial Codes in 2024-Understanding and managing denial codes is crucial for healthcare providers to ensure proper reimbursement and maintain financial stability. This denial occurs when the insurance company identifies that the submitted claim matches a previously submitted and processed claim for the same service, patient, provider, and date of service. Resources Denial Codes - Click on Denial Code We have added a tool to prepare notes in the below highlighted Denial scenarios (in bold). SuperiorHealthPlan. Below you can find the description, common reasons for denial code 186, next steps, how to avoid it, and examples. Denial codes serve to elucidate the causes behind a claim’s non-payment or non Apr 3, 2023 · Improve your claim rejection and denial rates by learning the lingo. Denial code 185 means the provider is not allowed to perform the service billed. It involves recording and reconciling payments received from insurance companies for services rendered by healthcare providers. May 21, 2023 · Managing denial codes in medical billing. In this article, we will provide a detailed analysis of Denial Code 193, including its description, common reasons for denial, next steps to resolve the issue, how to avoid it in the future, and example cases. 015 Maximum of 2 hours travel wait time allowed. This means that the claim was submitted without the necessary supporting documents, such as medical records or invoices, which are essential for the payer to process and evaluate the claim accurately. This guide will delve into commonly encountered denial codes, what they mean Jul 19, 2024 · Below is a comprehensive guide to the most common Medicare denial codes, their meanings, prevention strategies, and steps on how to fix them if encountered. Jul 19, 2024 · The CO 16 denial code occurs when there is missing or incorrect information in a medical claim and at least one remark code is provided that is not an alert. The Group code will be either: CO (Contractual Obligation) assigns financial responsibility to the Denial code 50 means the service is not covered because it's not considered medically necessary by the insurance company. Other claims that require valid ordering/referring NPI will be rejected. 2. The codes of this type include “PR” to indicate patient responsibility and “CO” to indicate contractual obligation — meaning that the participating physician is contractually obligated to accept the denial. We will keep adding this tool for all the scenarios in the coming days. Feb 7, 2014 · These claims are identified on your Remittance Advice (RA) with remark codes CO-16 or CO-183, along with N264, N265, N575, and MA13. This means that the code used to identify the procedure was either incorrect or not recognized by the payer or insurance company. com Remark code N183 indicates a predetermination advisory, signaling that extra documentation will be needed to process benefits when the service is billed. Apr 17, 2024 · Claim Adjustment Reason Codes list or CARC Codes List are standardized codes used in the healthcare industry to explain adjustments and denials made to medical claims submitted by providers to insurance companies or other payers. Please note the denial codes listed below are not an all-inclusive list of codes utilized by Novitas Solutions for all claims. Use the following chart for guidance on correcting your claim. Hence, the medical claim was denied. HIPAA Adjustment Reason Codes Release 11/05/2007. Check the 835 Healthcare Policy Identification Segment for more info. The denial codes listed below represent the denial codes utilized by the Medical Review Department. Facing CO 24 denial code issues? Understand its reasons, decode its descriptions, and find solid solutions in our detailed guide Apr 17, 2024 · Denial Codes CO 50 Denial Code Description – Medical Necessity Denial April 17, 2024 by NSingh (Working in RCM since 2010) Nov 5, 2007 · Chapter 2 Addendum G Data Requirements - Adjustment/Denial Reason Codes Revision: C-36, April 15, 2020 - END - View this document in PDF format Denial code 203 is when a healthcare provider's claim is rejected because the service was discontinued or reduced. Common causes include non‑participating providers and lack of credentials. This means Jul 23, 2024 · Many Americans have more than one insurance plan. Understanding and efficiently managing these codes are crucial for ensuring accurate reimbursement, minimizing claim denials, and maintaining a healthy revenue cycle Jun 5, 2025 · View common reasons for Reason 16 and Remark Codes MA13, N264, and N575 denials, the next steps to correct such a denial, and how to avoid it in the future. These codes are universal among all insurance companies. Learn common denial codes, global period codes, and more. Jul 9, 2025 · CO 18 is a denial code for duplicate claim submissions. Co109 Denial Code Handling If denial code co109 reason in claims that mean the patient has another payer or insurance and the patient did not update info that which is primary ins and which is secondary ins. We know how frustrating these denials can be. Medical billing denial and claim adjustment reason code. in Medical Billing More information call us(877) 353-9542 www. G-2 DENIAL/ADJUSTMENT CODES How to work on Medicare insurance denial code, find the reason and how to appeal the claim. Get clarity on denial codes in medical billing, reasons behind claim rejections, and how to fix them. Denial code 183 is used when the referring provider is not eligible to refer the service that has been billed. On Call Scenario: Claim denied as This provider was not certified/eligible to be paid for this procedure/service on this date of service ↓ May I get the denial date? ↓ What is the exact issue? ↙ ↓ ↘ The rendering provider The referring provider The procedure code is inconsistent is not eligible to perform is not eligible to refer with the provider type/specialty the service billed Feb 13, 2025 · CO-16 denial occurs when claims have missing or incorrect information. Jan 27, 2022 · How to Reduce Your Claim Denials Claim Adjustment Reason Code CO-183 (CARC) indicates that the provider’s specialty is not qualified to refer for this CPT. The Claim Adjustment Reason Codes are copyright of X12 and are described below for educational purposes. As a result, the claim for reimbursement is denied, and the healthcare provider may need to review and correct the Aug 1, 2023 · Claim Adjustment Reason Codes (CARCs) play a vital role in the medical billing process, as they provide standardized communication between healthcare providers, payers, and medical billing companies regarding claim adjustments. If there is no adjustment to a claim/line, then there is no adjustment reason code. These codes help communicate the reasons for changes in the payment amount or the denial of a claim. This meticulously curated list contains a wide range of denial codes, each accompanied by a detailed explanation and description of the corresponding reason for denial. For any line or claim level adjustment, three sets of codes may be used: Claim Adjustment Group Code (Group Code) assigns financial responsibility for the unpaid portion of the claim balance. As a result, the payer automatically invalidates and rejects Jan 1, 2014 · Service Facility Location provider NPI is not eligible to provide this service within the CO/B7/– Denial code 16 is for claims with missing or incorrect information. Enhance your practice and navigate billing with confidence. Remark code N574 indicates the provider's type/specialty cannot order/refer. 1) Get the processed date? 2) Get the allowed amount and the amount that was applied towards the patient's deductible? 3) Get the payment details if there was any? Feb 24, 2014 · Has your medical practice received unexpected Medicare denials? Coding expert Renee Stantz helps to sort through the confusion, and she offers more advice for ICD-10 preparation. Reason Codes Reason codes appear on an explanation of benefits (EOB) to communicate why a claim has been adjusted. Network Status Confusion Problem: Provider not in the patient’s network Dec 12, 2019 · HIPAA Adjustment Reason Codes Release 11/05/2007. ” Let’s try to understand this in detail. Aug 1, 2025 · The CO 16 denial code occurs when there is missing or incorrect information in a medical claim, and at least one remark code is provided that is not an alert. One such denial code that healthcare providers often encounter is CO 109. CONTACT CLIENTS HOSPICE FOR PAYMENT OF SERVICES OR RESUBMIT WITH DOCUMENTATION OF UNRELATED NATURE OF CARE. The table includes the denial group and reason codes, the remark codes, and the denial reason describing why the claim was denied in IBHIS. You will find this tool at the bottom of each scenario page. Apr 30, 2016 · 013 Quality or level of service does not meet L&I standards. Sep 10, 2025 · Learn about the most common denial codes in medical billing, their meanings, and reasons for claim rejections to streamline reimbursements. Understanding these codes is crucial for managing and resolving denied claims efficiently. This indicates that the necessary approval or notification was not obtained from the insurance company or other relevant parties before the medical service or treatment was provided. What is the CO 109 Denial Code? In the world of medical billing, denial codes play a crucial role in determining the outcome of a claim submission. Sep 5, 2019 · HIPAA Adjustment Reason Codes Release 11/05/2007. It can be reversed by reviewing, reworking, & resubmitting the claim. As a result, the claim was denied, and it will need to be corrected and resubmitted with the appropriate and valid modifier code. When referring provider information is not available on the claim form then resubmit the claim to check whether information still going on the claim form or not. 3-M, April 1, 2015 Jan 20, 2022 · Chapter 2 Addendum G Data Requirements - Adjustment/Denial Reason Codes Revision: C-53, September 8, 2021 FIGURE 2. Understand CO 1 Denial Code: Learn causes, solutions, and prevention tips to streamline your medical billing process and minimize denials effectively. How to prevent: Just as with CO-50, it’s important that staff are trained in best practices for documentation as to why a procedure is necessary. Since when does a Medicare patient require referral for any services? Need help!!! Denial code 18 is for an exact duplicate claim or service. Ordering/Referring Provider Denial Job Aid If you have received a claim rejection/denial due to a missing/incomplete/invalid ordering provider name and/or NPI, you must correct and resubmit your claim in order for payment to be considered. comSHP_20205782 Feb 16, 2025 · Denial codes are alphanumeric codes assigned by insurance companies to communicate the reasons for rejecting or denying a health care claim submitted by a medical provider. More information is needed to process the claim. Mar 10, 2025 · When health insurers process medical claims, they will use what is called ANSI (American National Standards Institute) group codes, along with a reason code, to help explain how they adjudicated/processed the claim. Explore our comprehensive guide to medical billing denial codes. Your effort to complete this bill correctly has been appreciated. However, it can be resolved by verifying insurance coverage and reworking the claim. [CO 22 Denial Code ] – The insurance company may deny the claim stating that their coverage is secondary to the patient. Mar 11, 2025 · Claim Issues: Common Denial Codes and How to Resolve Them Denial codes are the keys to understanding why an insurance claim was denied or adjusted. Medibillmd. Jul 9, 2025 · View the most common claim submission errors, denial descriptions, Reason/Remark codes and how to avoid the same denial in the future. These codes help you understand the specific issues that led to the denial, allowing you to take appropriate actions to rectify them and resubmit the claim. Claim Adjustment Reason Code 1 Denial code 1 Feb 7, 2014 · We have recently started to receive denial on 76942 along with many x-rays codes billed and the reason for denial is 183 the referring provider is not eligible to refer the services billed. Jul 1, 2025 · Learn what the CO 11 denial code means, why it occurs, & how to prevent or resolve it to protect your healthcare practice from revenue loss & claim rejections. , CO for Contractual Obligation), the full code provides more specific details about the denial reason. Oct 27, 2014 · Adjustment reasons are reported with standard codes. ” This means that the submitted claim is missing information about a related or qualifying service necessary for proper adjudication. 1. . These codes generally assign responsibility for the adjustment amounts. May 14, 2025 · Discover essential insights on the CO-185 Denial Code code for health professionals. Understanding the implications of this denial code and knowing how to resolve it are essential for ensuring smooth and efficient revenue cycle management. Each code corresponds to a specific reason for the denial, ranging from simple clerical errors to more complex issues involving medical necessity or coverage limitations. Denial Code 181 means that a claim has been denied because the procedure code used on the date of service was invalid. Denial code 193 is when the original payment decision is being maintained because the claim was processed correctly. As a result, the claim is denied, and the healthcare provider Jan 24, 2024 · How to Verify Claim Denial Resolutions Efficiently Did you know the two most common Medicare denials are due to submitting duplicate claims or the patient’s eligibility not being verified? To assist providers with these denials, Noridian offers Denial Code Resolution page that lists common denials providers receive and how to resolve them without the need of making unnecessary phone calls to What is a reason code used on an EOB? Reason codes appear on an explanation of benefits (EOB) to communicate why a claim has been adjusted. A remark code must be provided. g. Check CO183 denial code reason and description. Aug 22, 2025 · Learn what denial code CO 15 means, its causes, solutions, and prevention tips. Note: Changed as of 6/01 131 Claim specific negotiated discount. Mostly due Jul 19, 2024 · Denial code CO 18 occurs when healthcare providers submit duplicate claims for a service. Do not use for attachments or documentation. For convenience, the values and definitions are below: Explore CO Denial Codes with explanations and solutions to optimize medical billing and RCM efficiency. Sep 26, 2023 · CO 109 Denial Code Descriptions Co109 denial code means Claim or Service not covered by this payer or contractor, you may send it to another payer or covered by another payer. Apr 17, 2024 · The CO 50 denial code in medical billing is an important code that indicates the insurance company has deemed the services billed as not medically necessary. nxa vlv cpyid dscj dtm wcr hxev yvcvfir zvaqn pwynkd