Reason Code 16 | Remark Code MA83

Code Description
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.

Next Step

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