Reason Code Help Tool

Published 04/15/2022

Disclaimer: This lookup tool does not contain all reason codes found in the Direct Data Entry (DDE) Reason Code file. Please refer to Section 5: Claims Corrections (PDF) of the DDE Guide for additional information.

Reason codes may be added and are subject to change based on quarterly claim submission error data analysis.

This Reason Code Help Tool is designed to aid you in reviewing, understanding, and resolving the most frequent reason codes, or for determining if other actions are needed. You may search the tool by reason code, keyword or phrase. All records matching your search criteria will be returned for your review. You may also use the “Show All” button to view a complete list of reason codes available.

Questions pertaining to individual claims must be directed to the Provider Contact Center. You may fax a Written Inquiry Request form (PDF) to have your inquiry answered. Please do not include any Protected Health Information.


Was this article helpful?

Palmetto GBA Web Chat

Sounds: OnSave Transcript
Please answer the questions below. Additional fields may appear based on previous answers. Fields with a red asterisk (*) are required.
Your InformationClear
1()-x
Inquiry InformationClear
Select your stateClear
Select your stateClear
Provider InformationClear
Patient InformationClear
Patient Name must exactly match the information submitted on the claim, including suffix if applicable.
//
Appeal InformationClear
//
//
Claim InformationClear
//
//
Denial InformationClear
//
//
Rejection InformationClear
DDE InformationClear
Restore InformationClear
//
Prior Authorization InformationClear
//
//
Application InformationClear
Product InformationClear
OtherClear
Additional InformationClear

Are you sure you want to end your chat?

Keep ChattingClose ChatSave Transcript & Close

Webchat

Our dedicated webchat representatives are online to assist you with your general inquiries, provider enrollment, EDI, eServices and more in real-time.