109 Denial Code
109 Description :
Claim/service not covered by this payer/contractor. You must send the claim/service to the correct payer/contractor.
Start: 01/01/1995 | Last Modified: 01/29/2012
Start: 01/01/1995 | Last Modified: 01/29/2012
Claim was submitted to incorrect Jurisdiction
Claim must be submitted to the Jurisdiction listed as the beneficiary’s permanent address with the Social Security Administration
Claim must be submitted to the Jurisdiction listed as the beneficiary’s permanent address with the Social Security Administration
Deduction taken to reimburse L&I for unauthorized or excess payment of this service.
Unilateral/Bilateral procedure code Unilateral/Bilateral procedure code
109 ADJUSTMENT REASON CODE
Denial code 109.
109 REMARK CODE
109