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At least one Remark Code must be provided (may be comprised of either the NCPDP Reject Reason Code, or Remittance Advice Remark Code that is not an  



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1 jan 2011 · The procedure code modifier listed on your claim is either invalid or the RBRVS payment rules do not allow this procedure to be billed with this 



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Please return a Claims Information/Adjustment Request Form with a valid ICD-9 diagnosis code and we will reopen this claim for consideration Page 19 



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F1: Finalized/Payment: The claim has been paid F2: Finalized/Denial: The claim has denied For detailed information of what these codes are describing and 

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