Eligibility

These denials relate to whether you were eligible for coverage at the time of service. They can often be resolved by verifying your enrollment information or coordinating benefits between insurers.

• Medicare Can't Verify Your Enrollment
  Medicare denied your claim because it could not verify your identity or enrollment information. Learn why this data error happens and how to get it fixed quickly.
• Medicare Denied Claim: Dependent Not Eligible
  Medicare denied your claim because the patient listed as a dependent is not eligible for coverage. Learn why this happens, your options, and what steps to take.
• Medicare Denied Claim: Spend-Down or Waiting Period
  Medicare denied your claim because of a Medicaid spend-down requirement or Medicare waiting period. Learn what this means, your limited appeal options, and next steps.
• Medicare Says Coverage Wasn't Active on That Date
  Medicare denied your claim because your coverage was not active on the date of service. Learn why this happens, whether you can appeal, and what steps to take.