96 Denial Code

Non-covered charge(s). At least one Remark Code must be provided (may be comprised of either the NCPDP Reject Reason Code, or Remittance Advice Remark Code that is not an ALERT.) 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

Beneficiary was inpatient on date of service billed

Denied. Requested records not received by utilization review (UR) vendor. Injured worker is not to be billed.

Need EOB Please resubmit with an Explanation of Benefits from the primary insurance carrier