MedicaidAdministrativeHigh impact
Attention All Providers: Top 10 Claim Denial Reasons and Resolutions/Workarounds for September 2024 Professional Claims
Nevada Medicaid·NV·Billing & Coding
Effective date
Oct 21, 2024
We identified it
Jun 21, 2026
Summary
Nevada Medicaid released its top 10 claim denial reasons for September 2024, providing specific error codes and resolution steps for common billing issues. This guidance helps billing teams identify and fix recurring claim denial patterns including Medicare crossover issues, provider enrollment problems, prior authorization errors, and timely filing violations.
Action Required
Immediately: Billing team should review all Nevada Medicaid claim denials against the 10 error codes provided (452, 1008, 3340, 4021, 2003, 2017, 3001, 1047, 676, 1009) and implement the specific resolution steps for each. Update claim scrubbing processes to check Medicare crossover details, verify Group vs Individual NPIs, confirm provider enrollment status, validate prior authorization numbers and dates, and ensure timely filing within 180 days for in-state claims. Train staff on using EVS system and Gabby verification tools.