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HEALTH FIRST COLORADOAPPENDIX Appendix R Remittance Advice Messages EOB CodeDescription0000This claim/service is pending for program review.0007Information inadequate to establish medical necessity

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What is information inadequate to establish?

Information inadequate to establish refers to data that is insufficient or incomplete to verify or confirm a particular fact or claim.

Who is required to file information inadequate to establish?

Individuals or entities that are unable to provide necessary documentation or evidence to support their claim may be required to file information inadequate to establish.

How to fill out information inadequate to establish?

To fill out information inadequate to establish, individuals or entities must provide a detailed explanation of why the required information is missing or unavailable.

What is the purpose of information inadequate to establish?

The purpose of information inadequate to establish is to inform relevant parties that the necessary documentation or evidence to support a claim is not available.

What information must be reported on information inadequate to establish?

Information inadequate to establish must include details about the missing documentation or evidence, as well as explanations for why it is not available.

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