56 Denial Code

56 Description :

Procedure/treatment has not been deemed 'proven to be effective' by the payer. Usage: Refer to the 835 Healthcare Policy Identification Segment (loop 2110 Service Payment Information REF), if present.
Start: 01/01/1995 | Last Modified: 07/01/2017
Denied. Chart notes are required for services billed. No additional amount is payable.
Incorrect admission date Please resubmit with corrected Admission Date on claim

56 ADJUSTMENT REASON CODE

Denial code 56.

56 REMARK CODE

56

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