CLIA - Invalid Credentials
CARC/RARC |
Description |
CO-B7 |
This provider was not certified/eligible to be paid for this procedure/service on this date of service. Note: Refer to the 835 Healthcare Policy Identification Segment (loop 2110 Service Payment Information REF), if present. |
N570 |
Missing/incomplete/invalid credentialing data. |
Common Reasons for Message
- Lab code billed is not within CLIA certification type
- CLIA waived test was missing modifier QW
- Modifier QW was billed but not required
Next Step
- Verify correct CLIA certification number was submitted on claim
- Submit Appeal request to correct CLIA certification number or add/remove QW modifier
- See the Appeals webpage for instructions on how to submit a Reopening or Redetermination
Claim Submission Tips
Last Updated Apr 30 , 2025