Understanding the 197 Denial Code Description

Explanation of 197 denial code due to missing pre-authorization in medical billing.

The 197 denial code in medical billing is one of the most common issues healthcare providers face when dealing with insurance claims. This code signifies that a claim has been denied due to missing pre-certification, authorization, or notification from the payer.In other words, if a healthcare provider performs a medical service or procedure that requires […]

Book An Appointment