Diagnosis/Procedure Mismatch Denials (#1167): every service line (or claim) denied with CARC 11, 50 or 167 or RARC M76 on the account's ERAs in a check-date range, with the diagnoses the matched claim billed for it, rolled up by procedure and diagnosis, payer and provider. Carries patient names and claim numbers, so the response is PHI-obfuscated before return.
GET/api/Analytics/v1/Reports/DxMismatchReport
Diagnosis/Procedure Mismatch Denials (#1167): every service line (or claim) denied with CARC 11, 50 or 167 or RARC M76 on the account's ERAs in a check-date range, with the diagnoses the matched claim billed for it, rolled up by procedure and diagnosis, payer and provider. Carries patient names and claim numbers, so the response is PHI-obfuscated before return.
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