Author Topic: 90 days delay reason code for medicaid  (Read 944 times)

zahid

  • Newbie
  • *
  • Posts: 24
90 days delay reason code for medicaid
« on: November 22, 2018, 06:41:56 AM »
i m using 90 days delay reason code 7 and 8 but claim has been denied due to timely filing in medicaid insurance.anyone can guide me?

lupgain

  • Newbie
  • *
  • Posts: 4
Re: 90 days delay reason code for medicaid
« Reply #1 on: December 04, 2018, 09:48:46 AM »
Medicaid Denial codes 7 & 8 details as below

I hope you have submitted the all documentation required for contesting/appealing denial code 7 & 8 ..

Third party processing delay or Code 7 of Medicare & Medicaid
1. Medicaid should not be primary in this scenario
2. Submit Claim with EoB of Primary to support your claim
3. You can also use Electronic Receipt from Clearing House, as proof that you submitted claim to the Primary in time (> 30 Days)

Delay in Eligibility Determination or Code 8 of Medicare & Medicaid
1. Kindly note what was changed, Beneficiary's coverage or eligibility date
2. What was the reason for the delay, Administrative delay, litigation or fair-hearings, appeal
3. When were you notified with correct notification of eligibility, one should bill within 30 days from then

Medical Billing Forum

Re: 90 days delay reason code for medicaid
« Reply #1 on: December 04, 2018, 09:48:46 AM »