Description. Reason Code: 16. Claim/service lacks information or has submission/billing error(s) which is needed for adjudication.
CO 16: Claim/service lacks information or has submission/billing error(s). Usage: Do not use this code for claims attachment(s)/other documentation. At least one Remark Code must be provided (may be comprised of either the NCDPD Reject Reason Code, or Remittance Advice Remark Code that is not an ALERT.)
As you can see, these denials are easy to fix. Billers only need to add or correct the appropriate information and resubmit the claim to receive payment.
A reason code is a predefined set of categories or codes used to classify and track the reasons why certain events or transactions occur in a business. These codes are used to identify and understand the underlying causes of business processes, events, or outcomes.
Code. Description. Reason Code: 18. Exact duplicate claim/service.
Code 19 "Windows cannot start this hardware device… (Code 19)" This error can result if more than one service is defined for a device, there is a failure opening the service key, or the driver name cannot be obtained from the service key. From Start, search for device manager and select Device Manager from the results.
Visa chargeback reason code 30 falls under the “Consumer Disputes” category. The shorthand description is “Services Not Provided or Merchandise Not Received.” This reason code means that the cardholder is claiming that the merchant never provided the goods or services that they paid for.
26 Expenses incurred prior to coverage. 27 Expenses incurred after coverage terminated.
Code. Description. Reason Code: 13. The date of death precedes the date of service.
Condition code “A6” is required when billing the influenza or pneumococcal vaccine(s) and/or administration. Append the “A6” condition code to the claim and F9 or resubmit.
17 * Requested information was not provided or was insufficient/incomplete. At least one Remark Code must be provided (may be comprised of either the Remittance Advice Remark Code or NCPDP Reject Reason Code.) .
Denial code CO 18 means, “exact duplicate claims or services.” That's great, but what is an exact duplicate claim? An exact duplicate means that the payer determined that the same claim was already submitted in terms of…
your payer has made a recent determination or change with regards to that particular service, claim or adjudication process, and has made notification of that on their website. Chances are there's been a recent bulletin or other communication that will explain the denial or delay reason.
Error code 14 simply means an invalid card number was entered. It is one of the most common error codes that appear, and one of the easiest to fix. It often means the terminal user made a small mistake when keying in the card information, and one or more digits are incorrect.
The card issuing bank has declined the transaction as the credit card number is incorrectly entered, or does not exist.
What is declined 12 on a credit card? Also known as the "invalid transaction" code, a credit card error code 12 is given when the issuing bank does not accept a transaction.
Reason code: 11" is usually the client-initiated end of a session. It is a piece of logic implemented by the FTP client itself. Serv-U is following what FTP clients tells to do after successful authentication.
Merchants who receive a chargeback for a transaction placed with a Discover card may encounter reason code 5, which indicates an improperly authorized transaction that the cardholder does not believe they should be responsible for paying.
Reason Code 9: The diagnosis is inconsistent with the provider type. Note: Refer to the 835 Healthcare Policy Identification Segment (loop 2110 Service Payment Information REF), if present.
Denial Reason Code 20 usually indicates that there is a problem with your party settings. This can be caused by a variety of factors, such as having your party privacy settings set to Private, not being friends with the person you are trying to join, or using a VPN.
CO 31 – Claim denied as patient cannot be identified as our insured. The most frequent reason for this is that either the patient's name or the Medicare number has been entered incorrectly.
Reason code 40 indicates that adding all factor data would cause the maximum profile size to be exceeded. The data for one or more specified factors was not stored. A tag list error has been detected in the data base.
Denial Code CO 27 occurs when expenses were incurred after the patient's coverage had been terminated, meaning that your practice provided health care services to a patient after their insurance policy's termination.
We've been looking at some of the most common denial codes, and denial CO 50 is another very popular one that many practices encounter. CO 50 means that the payer refused to pay the claim because they did not deem the service or procedure as medically necessary.
Visa chargeback reason code 70 falls under the “Authorization” category. The shorthand description is “Card Recovery Bulletin or Exception File.” This indicates a transaction was processed using a card that Visa listed as stolen or counterfeit.