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Reason/Remark Code Search and Resolution

This tool has been developed to provide the provider community guidance on how to address claim denials in the most efficient manner. Enter the ANSI Reason or Remark Code from your Remittance Advice into the search field below. The tool will provide the remittance message for the denial and the possible causes and resolution.

NOTE: This tool was created for common billing errors. Not all denial scenarios are included. Some reason codes may provide multiple resolutions. Please be sure to compare it to the remark code on the remit.

ANSI Reason or Remark Code (Do not include "CO", "OA", or "PR")

For a complete list of the Claim Adjustment Reason Codes or Remittance Advice Remark Codes, please click hereExternal website.

Disclaimer: CGS' online tools and calculators are informational and educational tools only, designed to assist suppliers and providers in submitting claims correctly. CGS makes no guarantee that this resource will result in Medicare reimbursement for services provided. Although we've made every reasonable effort to provide effective resources, CGS is not responsible for the consequences of any decisions or actions taken in reliance upon or as a result of the information that these tools provide. CGS is not responsible for any human or mechanical errors or omissions.


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