CO 31 & 140
Patient cannot be identified as our insured.
Patient/Insured health identification number and name do not match.
Check the patient details including patient name, id and DOB. Correct it and resubmit the claims.
Services not provided or authorized by designated (network/primary care) providers.
Check the CPT which was submitted. If you submitted the wrong CPT just rebill with correct CPT otherwise take w.o
Payment denied/reduced for absence of, or exceeded, pre-certification/authorization.
Resubmit the claims with authorization number.
Correction to a prior claim.
This is the correction of previously processed claims which was processed in wrong manner.It may be additional amount or they taking backing paid amount which was paid already.