Medicare denial co 31 & 140 , co 38 , co 62 and co 63

CO 31 & 140

Patient cannot be identified as our insured.
Patient/Insured health identification number and name do not match.


Check the patient details including patient name, id and DOB. Correct it and resubmit the claims.

CO 38

Services not provided or authorized by designated (network/primary care) providers.

Check the CPT which was submitted. If you submitted the wrong CPT just rebill with correct CPT otherwise take w.o

CO 62

Payment denied/reduced for absence of, or exceeded, pre-certification/authorization.

Resubmit the claims with authorization number.

co 63

Correction to a prior claim.

This is the correction of previously processed claims which was processed in wrong manner.It may be additional amount or they taking backing paid amount which was paid already.


Medicare denial codes
Medicaid phone and address
Medical insurance billing
Medicare CO 4,5,20,21 AND CO 29
Medicare denial CO 26, CO 27, CO 28, CO 30, CO 177, CO 178 and CO 180
Medicare denial

BCBS billing Address

BCBS COMM PA

PO BOX 890062 CAMP HILL, PA 17089 866-763-3608

BCBS NORTHEASTERN COMM PA

PO BOX 890062 CAMP HILL, PA 17089 800-829-8599

BCBS OF ALABAMA

PO BOX 2294 BIRMINGHAM, AL 35201 800-517-6425

BCBS OF ALABAMA

PO BOX 2298 BIRMINGHAM, AL 35201 800-517-6425

BCBS OF ALABAMA

PO BOX 2294 BIRMINGHAM, AL 35201 877-779-6565

BCBS OF ARIZONA

PO BOX 1200 PHOENIX, AZ 85001 800-232-2345

BCBS OF ARKANSAS

PO BOX 2181 LITTLE ROCK, AR 72203 800-225-1891

BCBS OF ARKANSAS

PO BOX 2181 LITTLE ROCK, AR 72203 800-827-4810

BCBS OF CENTRAL NY

PO BOX 4782 SYRACUSE, NY 13221 800-920-8889

BCBS OF DE BLUE CHOICE

PO BOX 8830 WILMINGTON, DE 19899 800-552-5356

BCBS OF FLORIDA

PO BOX 1798 JAX, FL 32231 904-791-6111

BCBS OF GEORGIA

PO BOX 9907 COLUMBUS, GA 31908 800-441-2273

BCBS OF HAWAII

PO BOX 44500 HONOLULU, HI 96804 808-948-6330

BCBS OF ILLINOIS

PO BOX 1220 CHICAGO, IL 60690 800-635-9355

BCBS OF KANSAS

1133 SW TOPEKA BLVD TOPEKA, KS 66629 800-432-3990

BCBS OF KANSAS

1133 SW TOPEKA BLVD TOPEKA,KS 66629 800-432-3990

BCBS OF KANSAS CITY

PO BOX 419169 KANSAS CITY, MO 64141 800-892-6048

BCBS OF LOUISIANA

P O BOX 98029 BATON ROUGE, LA 70898 800-258-3495

BCBS OF MASSACHUSETTS

PO BOX 9196 NO QUINCY, MA 02171 800-227-7759

BCBS OF MASSACHUSETTS

100 NEWPORT AVE NO QUINCY, MA 02171 800-872-5298

BCBS OF MICHIGAN

PO BOX 2888 DETROIT, MI 48231 800-637-2227

BCBS OF MICHIGAN

PO BOX 2888 DETROIT, MI 48231 800-249-5103

BCBS OF MINNESOTA

PO BOX 64338 ST PAUL, MN 55164 800-859-2126

BCBS OF MISSISSIPPI

PO BOX 1043 JACKSON, MS 39215 800-257-5825

BCBS OF MISSOURI

1831 CHESTNUT ST LOUIS, MO 63103 800-892-6048

BCBS OF MONTANA

PO BOX 5004 GREAT FALLS, MT 59403 800-447-7828

BCBS OF NEBRASKA

PO BOX 3248 OMAHA, NE 68180 800-642-8516

BCBS OF NORTH CAROLINA

PO BOX 30071 DURHAM, NC 27702 800-222-5028

BCBS OF NORTH DAKOTA

4510 13TH AVE FARGO, NO DAKOTA 58121 800-368-2312

BCBS OF OKLAHOMA

PO BOX 3283 TULSA, OK 74101 800-672-2567


Blue cross blue shield address
Medicaid Address and phone number - List 1
Medicaid claim submission address - List 2
Medicare claim submission address
United Health care billing Address
Aetna Address

Medicare rejection CO 26, 27 , 28 and CO 30 ,177 , 178, 180

co 26 , 27 & 28

Expenses incurred prior to coverage.
Expenses incurred after coverage terminated.
Coverage not in effect at the time the service was provided.

Check the eligibility through IVR and call patient for any other insurance information. If patient hasn't have any insurance. Bill patient.

CO 30, 177, 178 and 180

Payment adjusted because the patient has not met the required eligibility, spend down, waiting, or residency requirements.
Patient has not met the required eligibility requirements.
Patient has not met the required waiting requirements.
Patient has not met the required residency requirements.


This denial comes usually because of patient not submitting the required documents to Medicare. Call Medicare and find what document missing and ask the patient to update.


Medicare denial codes
Medicaid phone and address
Medical insurance billing
Medicare CO 4,5,20,21 AND CO 29
Medicare denial CO 26, CO 27, CO 28, CO 30, CO 177, CO 178 and CO 180

Aetna Address and Phone number

AETNA Billing Address

Aetna has more address but usually accept all the claims whatever address you submit from the below list. Get the electronic payor id for Faster process.

PO BOX 569000 MIAMI FL 33256 800-452-8633
P O BOX 14079 LEXINGTON KY 40512 800-548-3945
P O BOX 14089 LEXINGTON KY 40512-4089 800-354-5835
PO BOX 14100 LEXINGTON KY 40512-4100 800-424-4047
PO BOX 14586 LEXINGTON KY 40512-4586 888-632-3862
PO BOX 3500 RICHMOND KY 40475
PO BOX 23759 COLUMBIA SC 29224-3759 800-391-5367
PO BOX 981107 EL PASO TX 79998 800-223-3580

AETNA CHOICE POS

P O BOX 981109 EL PASO TX 79998-1109 800-777-3240

AETNA MEDICARE

PO BOX 981107 EL PASO TX 79998-1107 800-245-1206

Genral phone numbers

Aetna B,M ,W 888-632-3862
Aetna HMO 800-624-0756


Medicaid Address and phone number - List 1
Medicaid claim submission address - List 2
Medicare claim submission address
United Health care billing Address

ASC Modifiers

AMBULATORY SURGICAL CENTER MODIFIERS

73   - Discontinued outpatient hospital/ambulatory surgery center (ASC) procedure prior to the administration of anesthesia
74   - Discontinued outpatient hospital/ambulatory surgery center (ASC) procedure after administration of anesthesia
SG   - Ambulatory Surgical Center (ASC) Facility service

CPT surgery Modifiers
CPT modifier 62 and 66
CPT Modifiers for Global period
CPT modifier 22 and 51

Ambulatory surgery center billing
ASC Modifier SG