How To Fix Denial Code 110 | Common Reasons, Next Steps & How To Avoid It

Denial Code 110 means that a claim has been denied because the billing date predates the service date. Below you can find the description, common reasons for denial code 110, next steps, how to avoid it, and examples.

2. Description

Denial Code 110 is a Claim Adjustment Reason Code (CARC) and is described as ‘Billing date predates service date’. This denial code indicates that the billing date on the claim is earlier than the date the service was actually provided. Insurance companies require that the billing date matches or follows the service date to ensure accurate and timely processing of claims.

2. Common Reasons

The most common reasons for denial code 110 are:

1. Data Entry Errors: One of the common reasons for denial code 110 is data entry errors. This can occur when there is a mistake in entering the billing date, resulting in it being earlier than the actual service date. It is important to double-check the dates entered to avoid this type of error.
2. Delayed Billing: Another reason for denial code 110 is delayed billing. If the billing is not submitted in a timely manner and is delayed beyond the acceptable timeframe, the billing date may end up being earlier than the service date. It is crucial to ensure that billing is done promptly to avoid this denial code.
3. Inaccurate Documentation: In some cases, denial code 110 may occur due to inaccurate documentation. If the documentation does not clearly indicate the service date, or if there is a discrepancy between the service date and the billing date mentioned in the documentation, the claim may be denied under this code.
4. System Glitches: Occasionally, denial code 110 may be triggered by system glitches or technical issues. These glitches can cause the billing date to be recorded incorrectly, resulting in a denial. It is important to address any system issues promptly to prevent this type of denial.

3. Next Steps

You can fix denial code 110 as follows:

1. Review Claim Documentation: Start by reviewing the claim documentation to ensure that the service date is accurately recorded. Check for any discrepancies between the service date and the billing date mentioned in the documentation. If there are any errors or inconsistencies, correct them before resubmitting the claim.
2. Correct Data Entry Errors: If the denial was due to a data entry error, correct the mistake by entering the correct billing date that matches the service date. Double-check all dates entered to avoid any further errors.
3. Timely Billing: Ensure that billing is done promptly and within the acceptable timeframe. Avoid delays in submitting claims to prevent the billing date from being earlier than the service date. Implement efficient billing processes to ensure timely submission.
4. Address System Glitches: If the denial was caused by a system glitch or technical issue, address the problem promptly. Contact the relevant IT support or system administrator to resolve the issue and prevent further occurrences of denial code 110.
5. Resubmit the Claim: After making the necessary corrections and addressing any issues, resubmit the claim with the accurate billing date that matches the service date. Include any additional documentation or explanations if required to support the claim.

4. How To Avoid It

You can prevent denial code 110 in the future as follows:

1. Double-Check Dates: Always double-check the dates entered during the billing process. Ensure that the billing date matches or follows the service date. Implement quality control measures to catch any data entry errors before submitting the claim.
2. Timely Documentation: Ensure that documentation accurately reflects the service date. Promptly record the service date in the documentation to avoid any discrepancies or confusion during the billing process.
3. Efficient Billing Processes: Implement efficient billing processes to ensure timely submission of claims. Establish clear timelines and responsibilities to avoid delays in billing. Regularly review and streamline billing procedures to minimize the risk of delayed billing.
4. System Maintenance: Regularly maintain and update the billing system to prevent system glitches or technical issues. Stay up-to-date with software updates and patches to ensure smooth functioning of the system.

5. Example Cases

Below are two examples of denial code 110:

• Example 1: A healthcare provider submits a claim with a billing date of January 1, 2022, for a service that was provided on December 30, 2021. The claim is denied under denial code 110 because the billing date predates the service date.
• Example 2: Due to a data entry error, a billing date of January 15, 2022, is entered for a service that was actually provided on January 20, 2022. The claim is denied under denial code 110 as the billing date is earlier than the service date.

Source: Claim Adjustment Reason Codes