Reason Code W7047 - JF Part A - Noridian - Noridian Medicare
https://med.noridianmedicare.com/web/jfa/topics/claim-submission/reason-code-guidance/w7047
Reference the status indicator which identifies if the HCPCS code is paid under OPPS before submission of claim(s) Bundled into a denied service, appeal the denied service. If payable service if found favorable on appeal, bundled services can be adjusted to covered. Claim is missing a payable service all together. Verify if only packaged services were provid… Reference the status indicator which identifies if the HCPCS code is paid under OPPS before submission of claim(s) Bundled into a denied service, appeal the denied service. If payable service if found favorable on appeal, bundled services can be adjusted to covered. Claim is missing a payable service all together. Verify if only packaged services were provided, or if other payable services were missing. Can adjust to add payable service. Direct data entry (DDE) - The process for reviewing the OCE flag status indicators for the desired HCPCS code is as follows:
Reference the status indicator which identifies if the HCPCS code is paid under OPPS before submission of claim(s)
Bundled into a denied service, appeal the denied service. If payable service if found favorable on appeal, bundled services can be adjusted to covered.
Claim is missing a payable service all together. Verify if only packaged services were provid…
Claim is missing a payable service all together. Verify if only packaged services were provided, or if other payable services were missing. Can adjust to add payable service.
Direct data entry (DDE) - The process for reviewing the OCE flag status indicators for the desired HCPCS code is as follows:
DA: 33 PA: 72 MOZ Rank: 54
