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MedicaidAdministrativeMedium impact

Attention All Providers: Top 10 Claim Denial Reasons and Resolutions/Workarounds for November 2024 Professional Claims

Nevada Medicaid·NV·Billing & Coding
Effective date
Not stated
We identified it
Jun 21, 2026
Days to comply
—

Summary

Nevada Medicaid published its top 10 professional claim denial reasons from November 2024, providing specific error codes and resolution instructions. This is guidance for preventing common denials, not a policy change requiring immediate action.

Action Required

Action needed
Immediately: Billing team should review the 10 common Nevada Medicaid denial codes (452, 1008, 3340, 4021, 2003, 1047, 1076, 1048, 1009, 5035) and their resolutions. Train staff on proper NPI usage, verify provider enrollment status via OPE tool, and check patient eligibility using EVS before claim submission to prevent these denials.

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