CLIA Certification Number - Missing/Invalid - JE Part B
CLIA Certification Number - Missing/Invalid
| CARC/RARC | Description |
|---|---|
| CO-16 | Claim/service lacks information or has submission/billing error(s) which is needed for adjudication. |
| MA120 | Missing/incomplete/invalid CLIA certification number. |
Common Reasons for Message
- CLIA certification number billed in Item 23 of CMS-1500 Claim Form (or electronic equivalent) was either missing or invalid
- Incorrect qualifier was used on electronic claim
Next Step
- Resubmit claim with valid CLIA certification number in Item 23 of CMS-1500 Claim Form
- CLIA numbers are 10 digits with letter "D" in third position
- Resubmit with valid qualifier or CLIA certificate number on Electronic Claim
- Qualifier to indicate CLIA certification number must be submitted as X4
- Review EDI training document on billing laboratory claims electronically
Claim Submission Tips
- Apply for CLIA Certification prior to rendering lab services
- Review codes that require a CLIA certification number
- Qualifier is only required on electronic claims
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