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 Denied Coverage Before You Enrolled ... What to Know
  If Medicare denied a claim or refused to cover a service because of a question about when your coverage started, here is what that means, why it happens, and what you can do.
• Medicare Denied Your Claim Because Coverage Wasn't Active Yet
  If Medicare denied a claim for care you received just before your coverage started, you may still have options. Learn why this happens, whether an appeal makes sense, and what steps to take now.
• 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.