MedicaidAdministrativeMedium impact
Crisis Intervention Service Claims That Denied With Error Code 5695 Have Been Reprocessed
Nevada Medicaid·NV · Psychiatry, Family Medicine, General Practice·Provider Announcement
Effective date
Apr 23, 2025
We identified it
Jun 21, 2026
Summary
Nevada Medicaid has corrected error code 5695 that was incorrectly denying crisis intervention service claims (H2011) when providers had valid prior authorizations. Claims from April 2023 to January 2025 have been automatically reprocessed with results appearing on May 2, 2025 remittance advice.
Action Required
Immediately: Review May 2, 2025 remittance advice for reprocessed H2011 claims. Ensure each date of service for crisis intervention services is submitted on separate detail lines - do not span dates when billing H2011. Monitor for any new denials that may result from reprocessing and utilize appeal process if needed.