Denial and Actions - CO B16

CO B16Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice.


(DENIED-RENDERING PHYSICIAN #INVALID/MISSING. SUBMIT A NEW CLAIM)(DENIED-CLIA NUMBER INVALID OR MISSING.)

This denial comes see the NPI and CLIA.

• If the practitioner rendering the service is part of a billing group, the individual practitioner’s National Provider Identifier (NPI) must be reported in the Rendering Physician # area (2310B loop, segments NM108

[XX] and NM109 [NPI], of the 837P electronic claim or Item 24J of the CMS-1500 paper claim form).

• Note: If you submit claims on the CMS-1500 paper claim form, report the NPI of the individual practitioner in the lower, non-shaded portion of Item 24J.

Also check whether CLIA printed on the field HCFA 23.

Links are simillar denials and solutions

http://billingatchennai.blogspot.com/2009/02/medicare-remittance-review-part-4.html

http://billingatchennai.blogspot.com/2009/02/medicare-remittance-advice-part-3.html

http://billingatchennai.blogspot.com/2009/01/medicare-remittance-advice-and.html

http://billingatchennai.blogspot.com/2008/10/denials-and-action-lacks-of-information.html

http://billingatchennai.blogspot.com/2008/09/medicare-denial-and-action-enrolled-in.html

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