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Attention All Providers: Top 10 Claim Denial Reasons and Resolutions/Workarounds for June 2024 Professional Claims
Nevada Medicaid·NV·Billing & Coding
Effective date
Jul 17, 2024
We identified it
Jun 21, 2026
Summary
Nevada Medicaid released the top 10 professional claim denial reasons for June 2024, providing specific error codes and resolution steps to help providers fix common billing issues. This guidance covers frequent denial scenarios including prior authorization problems, eligibility verification, provider enrollment issues, and duplicate claims.
Action Required
Immediately: Billing team should review the top 10 denial codes (452, 3001, 3340, 4021, 2003, 1048, 908, 7215, 749, 5035) and implement the specific resolution steps for each. Update claim submission workflows to include verification of Medicare crossover details, prior authorization numbers and dates, provider eligibility status, and NDC codes for physician-administered drugs. Train staff on using EVS system for eligibility verification and claim adjustments. Failure to follow these resolutions will result in continued claim denials.