Denials for Base Equipment Not on File/ Not Payable

This denial continues to be one of the top denials’ suppliers receive. Reason Code 16/Remark Code M124 is the denial on the remittance advice suppliers receive. It can be resolved quickly by calling the Supplier Contact Center to complete a telephone reopening to add beneficiary owned equipment to the beneficiary’s history. The information that is required on file is:

  • Beneficiary owned HCPCS; purchased month and year.
  • Good example: Bene-owned E0601 pur Jan 2021

Get your denials resolved quickly and avoid future denials by utilizing this process to put the beneficiary owned information on file.

 

Last Updated Mar 28 , 2023