What is CO16 denial code?

What is CO16 denial code?

The CO16 denial code alerts you that there is information that is missing in order for Medicare to process the claim. Due to the CO (Contractual Obligation) Group Code, the omitted information is the responsibility of the provider and, therefore, the patient cannot be billed for these claims.

What does denial code N381 mean?

N381. Alert: Consult our contractual agreement. for restrictions/billing/payment. information related to these charges.

What is Reason code 97?

Code. Description. Reason Code: 97. The benefit for this service is included in the payment/allowance for another service/procedure that has already been adjudicated.

What is denial code ma13?

Remark Codes: MA 13, N264 and N575. Alert: You may be subject to penalties if you bill the patient for amounts not reported with the PR (patient responsibility) group code. Missing/incomplete/invalid ordering provider name.

What is reason code B15?

Denial Reason, Reason/Remark Code(s) CO-B15: Payment adjusted because this procedure/service requires that a qualifying service/procedure be received and covered. The qualifying other service/procedure has not been received/adjudicated.

What does M124 mean?

4: Remark Code M124 If you encounter the M124 remark code on the explanation of benefits, it means that there is a missing indication of whether the patient owns the equipment that requires the part or supply.

What does N290 mean?

Missing/Incorrect Required NPI Information

CARC / RARC Description
CO -16 Claim/service lacks information or has submission/billing error(s) which is needed for adjudication.
N290 Missing/incomplete/invalid rendering provider primary identifier.
N257 Missing/incomplete/invalid billing provider/supplier primary identifier.

What is denial code pr204?

PR-204: This service, equipment and/or drug is not covered under the patient’s current benefit plan.

What is denial code N34?

N34: Incorrect claim form/format for this service. • Refer to Items 11b, 12, 14, 16, 18, 19, 24a and 31 on the claim form. You have the option to enter either a 6-digit (MMDDYY) or 8-digit (MMDDCCYY) date. However, the date format you choose must be consistent throughout the claim.

What is reason code 151?

Description. Reason Code: 151. Payment adjusted because the payer deems the information submitted does not support this many/frequency of services.