Reason Code 16 | Remark Code MA83 - JD DME

Common Reasons for Denial

• Block 11 on the 1500 claim form was not completed indicating primary or secondary payer.

Next Step

• 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.