Remittance Advice Details (RAD) Claim Denials

RAD code 0002: Recipient is not eligible for the benefits under the Medi-Cal program or other special programs.

• Verify the recipient’s 14-character ID number with a valid Medi-Cal Benefits Identification Card (BIC) prior to rendering service, except in an emergency.
• Check the recipient’s date of birth and the issue date of the BIC.
• Refer to the Eligibility: Recipient Identification Cards section in Part 1 provider manual.

Note:

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