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EOB Description Rejection Group Reason Remark Code

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EOB CodeDescriptionRejection CodeGroup CodeReason CodeRemark Code001Denied. Care beyond first 20 visits or 60 days requires , 45N54, M62002Denied. Report of Accident (ROA) payable once per claim. Previous payment has been , A1, 23N117003Initial office visit payable 1 time only for same injured worker/ Physical therapy by the attending doctor is limited to 6 , A1, 45N362005Denied. Physical therapy beyond the first 12 treatments requires , 45M62, N54006Rental has extended over 30 days. Only short term rental is , 119, 45NULL007Denied. Facet joint injections are limited to 4 per injured , A1, 45N362008Denied.

Apr 30, 2016 · EOB Code Description Rejection Code Group Code Reason Code Remark Code 074 Denied. Replacement and repair of this item is not covered by L&I. NULL CO 96, A1 N171 075 Denied. Requested records not rec'd by August(AHS). Injured worker is not to be billed. NULL CO 226, €A1 N463 076 Denied. Claim reopened for provisional time-loss only.

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