Monday, December 21, 2009

Denial for Lack of information and Action

Action on the Medicare Denial for Lack of information

CO-16 Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice.

When ever you received this denial , check the additional code for which will descripe what the info was required. It could be some of the belows.

- DENIED-RENDERING PHYSICIAN #INVALID/MISSING. SUBMIT A NEW CLAIM
- REFERRING NAME AND UPIN REQUIRED. RESUBMIT AS A NEW CLAIM
- DENIED-CLIA NUMBER INVALID OR MISSING

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