Reason Code 16 | Remark Code MA83 - JD DME
Reason Code 16 | Remark Code MA83
|Reason Code: 16||Claim/service lacks information or has submission/billing error(s).|
|Remark Code: MA83||Did not indicate whether we are the primary or secondary payer.|
Common Reasons for Denial
- Block 11 on the 1500 claim form was not completed indicating primary or secondary payer.
- Correct block 11 on the 1500 claim form and resubmit as a new claim.
How to Avoid Future Denials
- Item 11 on the 1500 claim form must be completed and cannot be left blank.
- If there is insurance primary to Medicare for the service date(s), enter the insured's policy or group number within the box.
- If there is no insurance primary to Medicare, do not enter "n/a," "not," etc., enter the word NONE within the confines of the box.
Last Updated Fri, 04 Dec 2020 14:40:43 +0000