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Attention All Providers: Top 10 Claim Denial Reasons and Resolutions/Workarounds for January 2025 Professional Claims
Nevada Medicaid·NV·Billing & Coding
Effective date
Feb 20, 2025
We identified it
Jun 21, 2026
Summary
Nevada Medicaid has published the top 10 claim denial reasons for January 2025, providing specific error codes and resolution steps for common billing issues including eligibility verification, duplicate claims, prior authorization problems, and provider enrollment issues.
Action Required
Immediately: Billing team must review all pending Nevada Medicaid claim denials against the 10 error codes provided (452, 2003, 3340, 4021, 5052, 4371, 2017, 5035, 3001, 1010). For each denial type, follow the specific resolution steps including verifying patient eligibility in EVS, checking fee schedules for covered codes, reviewing prior authorization requirements, and ensuring proper provider enrollment and linkage. Update billing workflows to prevent these common denial reasons.