Reason Code 16 | Remark Code MA27 N382 - JD DME

Reason Code 16 | Remark Code MA27 N382

Code	Description
Reason Code: 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 NCPDP Reject Reason Code, or Remittance Advice Remark Code that is not an ALERT.) Refer to the 835 Healthcare Policy Identification Segment (loop 2110 Service Payment Information REF), if present.
Remark Codes: MA27 and N382	Missing/incomplete/invalid entitlement number or name shown on the claim. Missing/incomplete/invalid patient identifier.

Code

Description

Reason Code: 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 NCPDP Reject Reason Code, or Remittance Advice Remark Code that is not an ALERT.) Refer to the 835 Healthcare Policy Identification Segment (loop 2110 Service Payment Information REF), if present.

Remark Codes: MA27 and N382

Missing/incomplete/invalid entitlement number or name shown on the claim.
Missing/incomplete/invalid patient identifier.

Common Reasons for Denial

Beneficiary name/Medicare number do not match.

Next Step

Correct and resubmit as a new claim.

How to Avoid Future Denials

If the record on file is incorrect, the patient's family/estate must contact Social Security to have records corrected.

Last Updated Thu, 29 Nov 2018 13:30:38 +0000

DME Jurisdiction D

Reason Code 16 | Remark Code MA27 N382 - JD DME

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