X12 Ingest & Denial Analytics

Demo Environment — Synthetic Data OnlyThis application contains synthetic demonstration data only. Do not enter or submit patient information (PHI) or other sensitive personal information.
Denials›TIMELY_FILING›claim B02M000609

Denial · CARC 29

TIMELY_FILING · MERIDIAN HEALTH PLAN

Denied
754.00
Withheld
Recoverable
0.00
Realistically collectable
Net of rework
0.00
less 31.00
Appeal window
closed 612d ago
Closed

Classification

FieldValue
Primary CARC29
All CARCs29
Root causeTIMELY_FILING
Owns the fixBilling Related
Appealableyes
Recoverableno
Recommended actionFiling limit expired. Rarely recoverable; fix the charge lag upstream.
PayerMERIDIAN HEALTH PLAN
Denial date20 Oct 2024
Appeal deadline18 Jan 2025

Denial workflow

FieldValue
Current statusnew
Appeal outcomenot recorded
Closure reasonnot applicable

What this denial means, and to whom

Is the available evidence consistent with the stated reason?

No independent evidence for this reason

CARC 29 is not one this data can test. The cross-checks cover coverage assertions, against the 834, and authorisation assertions, against the 278. For every other reason the payer's statement stands unexamined here.

From: The CARC on this remittance, and the cross-checks available.

Limits: Absence of contradicting evidence is not agreement. This says only that the application holds no record able to test the assertion — not that the denial is correct.

Adjustments

LevelCodeAmountCounts as
linePI/29754.00withheld