Reason Code 107 - JD DME - Noridian (2024)

Reason Code 107

Code Description
Reason Code: 107 The related or qualifying claim/service was not identified on this claim. Usage: Refer to the 835 Healthcare Policy Identification Segment (loop 2110 Service Payment Information REF), if present.

Common Reasons for Denial

  • Accessories or supplies cannot be paid if the related item or main piece of equipment is denied.

Next Step

  • Determine if the main piece of equipment was denied.
  • Resubmit supplies or accessories once the main piece of equipment has been submitted.
  • If beneficiary owned equipment include narrative and resubmit claim.

How to Avoid Future Denials

  • Ensure the base equipment is payable before submitting accessories or supplies.

Last Updated Dec 09 , 2023

Reason Code 107 - JD DME - Noridian (2024)
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