Dental Sealant Claim Denials, CR 30831
February 26, 2013
Dental Sealant Claim Denials, CR 30831 Some claims with procedure code D1351 Dental Sealants are being denied inappropriately for incorrect limit information in MIHMS. This issue will be corrected and claims will be reprocessed. No provider action is needed.
You can identify these claims on your Remittance Advice (RA) by this reason code:
• Claims Adjustment Reason Code (CARC) 119- “Benefit Maximum for this time period or occurrence has been reached.”