Explain the denial codes on an Explanation of Benefits
explain_denial_codeExplain the denial codes on an Explanation of Benefits. Use for "my EOB says CO-50, what does that mean?", "what is denial code PR 204?" or "what does N130 mean?". Returns each code in plain words, who usually fixes it (the provider's billing office, an appeal, or the user), whether the provider can bill the user for it (from the group code CO, PR, OA or PI), and a letter link when an appeal fits.
Input Schema
| Name | Required | Description | Default |
|---|---|---|---|
| code | Yes | One to four codes from the notice, like CO-50, PR 204, 197 or N130. | |
| plan_type | No | Same values as /v1/rights. Carried into the letter link. |