Here Denied Claim For Capitation In Hennepin
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FAQ
In 2018, HCMC became Hennepin Healthcare.
Please use payer ID 60058 to send claims directly to Hennepin Health's claims preprocessor, Availity.
MSP claims must be submitted to Medicare within the established timely filing guideline for all Medicare claims, which is one calendar year from the date of service. There are some exceptions to the timely filing limit, but none of those exceptions apply to determining a patient's MSP status.
Please use payer ID 60058 to send claims directly to Hennepin Health's claims preprocessor, Availity.
This denial means that the claim was denied because the charges are covered under a capitation agreement or managed care plan - in this case, the Medicare Advantage plan.
The CO 24 denial code is used to indicate that the claim made has been denied due to the patient's insurance coverage under a capitation agreement or a managed care plan.
Capitation is a payment arrangement for health care service providers. It pays a set amount for each enrolled person assigned to them, per period of time, whether or not that person seeks care.
What is the CO 24 Denial Code? CO 24 denial code refers to "denied miscellaneous payments." It signifies that the billed service or procedure is uninsurable, non-covered, or not payable under the patient's insurance plan.
Hennepin Healthcare System is a public corporation established in state statute. It is governed by a corporate board, of which two members are Hennepin County commissioners. Hennepin County Medical Center is a public safety net hospital whose services extend to low-income individuals.
