ClaimsMed

How to Overcome M86 Denials in Medical Billing: Smart Tactics for Revenue Recovery

Leave a Comment / Denial Management, May 2025

One of the most common and frustrating obstacles in healthcare billing is dealing with denied claims—especially those tagged with Reason Code M86 denials. This denial states: “Service denied because payment already made for same/similar procedure within set time frame.” For healthcare providers, understanding why this happens and how to prevent it is crucial to maintaining […]

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N381 Denial Code: How to Prevent Revenue Leaks

Leave a Comment / April 2025, Denial Management

Understanding the N381 Denial Code Are you a healthcare provider, practice manager, or medical business owner constantly battling the N381 denial code? You’re not alone. This common denial indicates that the claim doesn’t meet the terms of your payer contract—leading to frustrating delays and lost revenue. Let’s break it down and help you turn this

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Understanding and Overcoming Denial Code N657

Leave a Comment / April 2025

Denial Code N657 — “This should be billed with the appropriate code for these services” — is a common obstacle in healthcare billing that can severely impact reimbursement and cash flow. This denial signals coding mismatches, missing information, or outdated practices that healthcare providers must swiftly address to maintain a healthy revenue cycle. Common Reasons

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How to Fix N403 Denials: Avoid the “Missing Facility Certification”

Leave a Comment / April 2025, Denial Management

Receiving a denial with the remark code N403 Denials – Missing Facility Certification can seriously delay reimbursement and disrupt your revenue cycle. This code usually indicates that the claim did not include documentation verifying that the services were performed at a certified facility. But what does this mean for your practice? Essentially, your claim hit

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Prevent N329 denials

Prevent N329 Denials: Fix Birth Date Errors in Claims

Leave a Comment / April 2025, Denial Management

Claim denials are more than just a paperwork issue—they directly hit your bottom line. One of the most overlooked yet impactful denial codes is N329, which is triggered by missing, incomplete, or invalid patient birth date information. For healthcare providers and practice managers, this seemingly minor error can result in delayed reimbursements, lost revenue, and

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Remark Code N117

How to Prevent N117 Denials in Medical Billing

Leave a Comment / April 2025, Denial Management

If you’ve received a claim denial with Remark Code N117, it means the billed service is restricted to a one-time benefit in the patient’s lifetime. This restriction often applies to high-value medical services like initial therapy evaluations or specific surgeries. For practice managers, providers, and healthcare business owners, understanding and managing N117-related denials is essential

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Digital graphic with the bold text "PREVENT N433 DENIALS" centered on a light blue medical-themed background featuring blurred images of a stethoscope and syringe.

How to Fix Remark Code N433 Denials – NPI Billing Tips

Leave a Comment / April 2025, Denial Management

As a healthcare provider or practice manager, receiving claim denials can be a frustrating experience, especially when they come with Remark Code N433. This code signals that the payer requires you to resubmit your claim using only your National Provider Identifier (NPI). Let’s break down why this happens and how you can avoid it in

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Prevent N31 Denials

Prevent N31 Denials: Fix Prescriber ID Errors for Faster Payments

Leave a Comment / March 2025

N31 denials, triggered by missing, incomplete, or invalid prescribing provider identifiers, are among the most frustrating claim rejections healthcare providers face. These denials delay reimbursements and create unnecessary administrative burdens. In this guide, we’ll break down why N31 denials happen and provide actionable strategies to prevent them, helping you streamline your revenue cycle and maximize

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Prevent Denial Code 115

Stop Denial Code 115: Boost Revenue with Proven Strategies

Leave a Comment / March 2025

Denial Code 115 is a common challenge for healthcare providers, indicating that a procedure was postponed, canceled, or delayed. These denials can lead to revenue loss and administrative headaches. In this blog, we’ll explore the causes of Denial Code 115 and share actionable strategies to prevent it, helping you streamline your revenue cycle. Why Does

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MA36 DENIALS

Stop MA36 Denials: Boost Revenue with Accurate Patient Data

Leave a Comment / Denial Management, March 2025

Claim denials are a major headache for healthcare providers, and the MA36 error—indicating a missing, incomplete, or invalid patient name—is one of the most common culprits. These denials can lead to significant revenue loss and administrative hassles. In this blog, we’ll explore the root causes of MA36 denials and share actionable strategies to prevent them. Why

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