SAPC Denial Resolution Cheat Sheet
SAPC publishes a denial resolution crosswalk because the same errors repeat. This cheat sheet maps the common denial causes to their fixes so your team resolves faster and prevents the next one.
Last verified: 2026-08-19The checklist.
- Service dated before the date of diagnosis → capture the diagnosis on or before the earliest billable service
- Financial guarantor effective date after the service date → verify and date financial eligibility at intake
- Authorization grouping does not match the level of care → tie the authorization to the documented ASAM level
- Claim older than 365 days → submit on the county's regular cycle, never in aged batches
- State denial after payment → keep eligibility, coding, and documentation accurate to avoid recoupment
- Reconcile every cycle against the 835 the Contract Reimbursement Unit produces
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Tell us where to send the full guide, and where you operate — we tailor the follow-up to your county and payer mix. Related: the LA County SAPC Sage guide.