AGAR Guide

Denial Guides

Structured AR resolution workflows by denial category — what the denial means, what to verify, recommended next actions, documentation, escalation and QA checkpoints.

All denial guides are AR Guide editorial content: general practice guidance, never payer-specific policy. Always confirm specifics with the payer.

Timely Filing

AR Guide Knowledge

The payer denied the claim because it was submitted after the filing deadline. Success depends on proving timely submission or finding a valid extension.

Eligibility & Coverage

AR Guide Knowledge

Coverage could not be verified or was not active for the date of service — member not found, coverage lapsed, or eligibility requirements not met.

Authorization

AR Guide Knowledge

The service required prior authorization, precertification, or pre-treatment review that was missing, expired, or did not cover what was billed.

Referral

AR Guide Knowledge

The service required a referral from a primary care or network provider that was missing, expired, or did not cover the billed service.

Missing Information

AR Guide Knowledge

The claim was missing required information or had a submission or billing error, so the payer could not process it. This is usually a correction, not an appeal.

Duplicate Claims

AR Guide Knowledge

The payer identified the claim as a duplicate of a previously processed claim. Verify the original before doing anything — this is often a no-action item.

Non-Covered Services

AR Guide Knowledge

The service is not covered under the patient's benefit plan — an exclusion, a coverage limit, or a service the plan simply does not include.

Medical Necessity

AR Guide Knowledge

The payer determined the service was not medically necessary or reasonable according to its policy. These denials are documentation-driven.

Coding & Modifiers

AR Guide Knowledge

The payer identified a coding issue — a mismatched or missing modifier, an inconsistent diagnosis, a revenue-code mismatch, or an unbundled service.

Documentation Required

AR Guide Knowledge

The payer requested medical records, orders, notes, certificates, or other documentation before it will process the claim.

Coordination of Benefits

AR Guide Knowledge

Another plan may be primary, the primary's payment was not applied correctly, or the claim belongs with a different payer under COB rules.

Patient Responsibility

AR Guide Knowledge

The amount is the patient's responsibility under the plan — deductible, coinsurance, copayment, or a non-covered amount the patient may be billed.

Provider & Credentialing

AR Guide Knowledge

The provider type, enrollment, credentialing, network status, or facility certification does not support payment for the service billed.

Incorrect Payer

AR Guide Knowledge

The claim was submitted to the wrong payer or plan type and must be sent to the payer that actually covers the service.

Bundling & Included Services

AR Guide Knowledge

The payment for this service is included in the payment for another service — a global period, an NCCI edit, or a plan rule that bundles the service.