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UHC all denial reason and solutions

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Sivakumar:
i just handling NY state practice old.AR accounts. most of the UHC accounts get denied for different reason..
can anyone send me the denials list & resolution details. or just give me a website like to download..

thanks..

Christy:
the denial reason should be right on the eob....

RichardP:
Such a list for UHC probably does not exist officially.  However, the denial codes for regular insurance carriers follow somewhat the denial codes for Medicare and Medicaid.  Here are a few links to get you started with your research:

http://www.webanswers.com/health/how-can-i-find-a-list-of-medicare-denial-codes-562caa?FS999_rli=1

http://medicalbillingguideline.org/medicare-denial-code-first-list/

http://dese.mo.gov/divspeced/Finance/PDF/MedicaidClaimDenialCodes.pdf

http://www.ncdhhs.gov/dma/hipaa/eobcrosswalk.pdf

Sivakumar:
Thanks for the reply..

i hope those websites will help me to clear my doubts..

PMRNC:

--- Quote ---i hope those websites will help me to clear my doubts..
--- End quote ---

Your EOB's should be your first resource, as they will indicate the denial code and explanation of denial.

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