EVV denial reference
Medicaid EVV denial codes, in plain English
You paid the caregiver and did the visit, then the claim bounced on a code you had to go look up. Here is what the common Electronic Visit Verification denial codes mean and how agencies fix them.
Denial codes
EVV data requirements not fulfilled
EVV data not submitted through the state EVV system
Provider ID not matched in the EVV system
Recipient not found in the EVV system
No matching verified EVV visit for the service billed
Billed units exceed the verified EVV visit
EVV enforcement warning (soft launch)
PA ESC 925 — EVV visit verified (informational)
PA ESC 926 — duplicate EVV visits
PA ESC 927 — billed units exceed verified units
PA ESC 928 — no matching EVV visit
PA ESC 933 — claim line format error
PA ESC 938 — no matching EVV visit (home health)