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The explanations include the denial codes and the descriptions, which present at the bottom of ERA. ERA are provided by plans to Providers. In the United States the industry standard ERA is HIPAA X12N 835 ( HIPAA = Health Insurance Portability and Accountability Act ; X12N = insurance subcommittees of ASC X12 ; 835 is the specific code number ...
This work is in the public domain in the United States because it is a work prepared by an officer or employee of the United States Government as part of that person’s official duties under the terms of Title 17, Chapter 1, Section 105 of the US Code.
An example of de facto denial by non-payment would be if the carrier "approves" treatment but does not authorize payment for the approved service. Inadequate payment that prevents a person from obtaining a necessary service from at least one capable provider, whether intentional or incidental, may be referred to as de facto denial, effective ...
HCPCS includes three levels of codes: Level I consists of the American Medical Association's Current Procedural Terminology (CPT) and is numeric.; Level II codes are alphanumeric and primarily include non-physician services such as ambulance services and prosthetic devices, and represent items and supplies and non-physician services, not covered by CPT-4 codes (Level I).
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In computer security, a billion laughs attack is a type of denial-of-service (DoS) attack which is aimed at parsers of XML documents. [ 1 ] It is also referred to as an XML bomb or as an exponential entity expansion attack.
The U.S. government restricts all individuals or companies from exporting any service or product to any party contained in a U.S. government export denial, blocked, and debarred persons lists. The failure to comply with the above regulation is a violation of U.S. law and can result in criminal or civil prosecution, as well as denial of export ...
The NIGP Code can be accessed in several ways. The most common is via the NIGP Code web search tool, the NIGP Living Code, which hosts a search engine for the Code for end users. The site also has a download section, which provides for end user download of the entire codeset or modifications to the codeset since the last download by the user.