EligibilityVerification Archives |

Dual-Eligible Eligibility Verification Checklist 2026

Leave a Comment / Eligibility & COB Billing

For healthcare practice managers and front-desk teams, Dual-Eligible Eligibility Verification is one of the most critical safeguards against claim denials and A/R delays. In 2026, with continued expansion of D-SNP plans and evolving Medicaid redeterminations, verifying dual coverage accurately at check-in is no longer optional—it is essential for clean claim submission. Below is a practical, […]

Dual-Eligible Eligibility Verification Checklist 2026 Read More »

Denial Code 26: Coverage Not Active Fix

Leave a Comment / Denial Codes & Claim Fixes

For practice managers, healthcare providers, and practice owners, Denial Code 26 Coverage Not Active is a frequent and frustrating financial headache. This claim rejection is issued when insurers reject claims. Specifically, they reject claims for services provided before the patient’s insurance coverage began. Consequently, these denials account for nearly 15% of all preventable claim rejections.

Denial Code 26: Coverage Not Active Fix Read More »

MA61: Missing/Invalid SSN or Claim Number Fix

Leave a Comment / Denial Codes & Claim Fixes

Healthcare providers, practice managers, and clinic owners must conquer Remark Code MA61 Missing/Invalid SSN or Claim Number denials. This common denial signals a critical administrative failure: the claim is missing, incomplete, or contains an invalid Social Security Number (SSN) or health insurance claim number (HICN). Consequently, this error prevents the payer from accurately identifying the

MA61: Missing/Invalid SSN or Claim Number Fix Read More »

Denial Code 177: Fix & Prevention Checklist

Leave a Comment / Denial Codes & Claim Fixes

Denial Code 177 is a common eligibility-related denial that occurs when a patient does not meet the payer’s coverage requirements for the billed service. These denials often arise when eligibility information, benefit requirements, referrals, authorizations, or coverage conditions are not verified before treatment. As a result, healthcare organizations may experience delayed reimbursements, increased administrative work,

Denial Code 177: Fix & Prevention Checklist Read More »

Denial Code CO-27: Coverage Ended Fix Guide

Leave a Comment / Eligibility & COB Billing

Denial Code CO-27 is a common insurance denial that occurs when healthcare services are billed after a patient’s insurance coverage has ended. When this denial appears, the payer believes the patient was no longer covered on the date the service was provided. For healthcare providers, practice managers, and medical billing teams, Denial Code CO-27 can

Denial Code CO-27: Coverage Ended Fix Guide Read More »