What is CO16 denial code?

The CO16 denial code alerts you that there is information that is missing in order to process the claim. Due to the CO (Contractual Obligation) Group Code, the omitted information is the responsibility of the provider and, therefore, the patient cannot be billed for these claims.

What is EOB denial?

EOB Denials The service you had is not covered by the health insurance plan benefits (also called a non-covered benefit). Your insurance coverage was ended (terminated) before you received this service. You received the service before you were eligible for insurance coverage (not eligible for coverage).

Can you check your Medicaid status online?

Medicaid is a federal program that provides health coverage to millions of Americans. In the meantime, you can check the status of your account online, over the phone, or in person at your local Medicaid office.

What happens if TPL EOB exceeds Alaska Medicaid allowed amount?

If the amount on the TPL EOB exceeds the Alaska Medicaid allowed amount, no additional amount will be paid. If the amount on the TPL EOB is less than the Alaska Medicaid allowed amount, the provider will be paid the difference. 25 Federal TPL Waiver

What kind of browser do I need for Alaska Medicaid?

Alaska Medicaid Health Enterprise supports the following internet browsers: Internet Explorer 11 (IE11), Google Chrome 53 or later, and Firefox 49 or later. On May 18, 2021, the Department of Health and Social Services (DHSS) website was the target of a cyberattack.

Is the Alaska medical assistance health enterprise accessible?

The Alaska MMIS may not be accessible during the weekly scheduled maintenance hours of 6:00 p.m. AKT Saturday to 6:00 a.m. AKT Sunday. Alaska Medicaid Health Enterprise supports the following internet browsers: Internet Explorer 11 (IE11), Google Chrome 53 or later, and Firefox 49 or later.

What are the reasons for not being covered by EOB?

Reason Code 44: This (these) diagnosis (es) is (are) not covered, missing, or are invalid. Reason Code 45: This (these) procedure (s) is (are) not covered. Reason Code 46: These are non-covered services because this is a routine exam or screening procedure done in conjunction with a routine exam.