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.
• Medicaid Spend-Down or Medicare Waiting Period: What to Do
  A Medicaid spend-down and a Medicare disability waiting period follow different rules. Learn which expenses may count, how to check dates, and which appeal process applies.
• Medicare Can't Verify Your Enrollment
  Medicare could not verify the identifying information on your claim. Learn what your provider should check and when correction or an appeal may apply.
• Medicare Says Coverage Wasn't Active on That Date
  Medicare or your plan says coverage was not active on the service date. Learn how to check the dates, payer, and correction or appeal process.