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F Service) (Invoice #) (Claim #) **********CareCentrix use only********** Level I Level II Level III (PLEASE CHECK REASON FOR APPEAL: DENIAL CODE-DESCRIPTION) No authorization for service Billed units exceed authorized units Service and/or unit of measure on the claim are not recognized Denied requesting payment/denial from primary payer Claim was not filed within the timely filing limits. Invalid substitution for authorized service Eligibility related issue. Other: PLEASE PROVIDE THE NEC.

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  • ELIGIBILITY
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