Fee Navigator®

    Explanatory Code: 08

    NEW RECIPIENT PREVIOUSLY PAID FOR ALTERNATE PAYMENT PLAN CONTRACT

    Payment was refused as a FFS benefit was previously paid for a new recipient.

    AMA billing recovery tip:

    • You have processed a claim for this patient using a Fee for service (FFS) claim. If the FFS claim is correct, delete the patient from the roster for the ARP/APP. If the FFS claim is incorrect, you must first delete the FFS claim and resubmit the claim under the BA for the APP/ARP.