Invalid Patient Name

CARC/RARC Description
  • CO-16
Claim/service lacks information or has submission/billing error(s).  Usage:
Refer to the 835 Healthcare Policy Identification Segment (loop 2110 Service
  • MA36
Missing/incomplete/invalid patient name.
  • N704
Alert: You may not appeal this decision but can resubmit this claim/service
with corrected information if warranted.


Common Reasons for Message

  • Patient name is missing or does not match the name on their Medicare Card.

Next Step

  • Verify that the following information is exactly as indicated on their Medicare card.

Claim Submission Tips

  • Obtain patient's full name and Medicare Beneficiary Identifier (MBI) number directly from their most current Medicare card
    • Keep a copy on file
  • If patient sees a problem or has an error on his/her Medicare card, they must contact Social Security Administration (SSA) at 800-772-1213 to make necessary correction(s)


Last Updated Mon, 30 Aug 2021 17:50:22 +0000