142Denial Code (CARC)Active
PR 142 Denial Code: Medicaid Patient Liability
Code 142 indicates that the amount deducted represents the monthly Medicaid patient liability. This is the portion that Medicaid has determined the patient is responsible for paying each month.
Who Pays: Group Code Liability
For code 142, the liability falls under PR, meaning the patient can be billed for this amount. This is the patient's monthly share per Medicaid's determination.
Why Claims Get Code 142
- Medicaid has calculated a monthly patient liability and applied it to the claim.
- The claim reflects services rendered in a month where the patient has a Medicaid-assigned liability.
- Billing for services that fall under the patient's Medicaid share of cost agreement.
How to Fix & Resubmit
- Verify the patient's Medicaid eligibility and their monthly liability amount.
- Ensure the patient's liability amount has been accurately deducted from the claim payment.
- Contact Medicaid if the liability amount seems incorrect based on your records.
- Adjust the patient's balance to reflect their responsibility for the liability amount.
- Bill the patient for the liability amount as indicated by Medicaid.
Corrected Claim or Appeal?
For code 142, typically neither a corrected claim nor an appeal is needed unless the liability amount seems incorrect. If necessary, contact Medicaid for clarification.
Preventing Future 142 Denials
- Ensure accurate and up-to-date Medicaid eligibility checks before billing.
- Regularly verify the patient's Medicaid liability amount and update records accordingly.
- Communicate with patients about their liability responsibilities under Medicaid.
- Coordinate with Medicaid to promptly address discrepancies in liability amounts.