For information on denials/rejections, please refer to our Issues, denials, rejections & top errors page ( JH ) ( JL ). For additional questions regarding Medicare billing, medical record submission, processing and/or payment, please contact Customer Service at: (JL) 877-235-8073, Monday – Friday 8 a.m. – 4 p.m. ET.The steps to address code 39 are as follows: Review the denial reason: Carefully read the denial reason provided for code 39. Understand that services were denied because authorization or pre-certification was not obtained at the time of the request. Identify the patient and service: Determine the specific patient and service for which the ...They are all part of HCPS, the Healthcare Common Procedure Coding System. 99214 should be used for patients whose appointments are 25 minutes and whose treatment is considered as being of moderate complexity. Other CPT code severity requirements are listed below: 99212: straightforward. 99213: low. 99214: moderate.Call action on Denial Code CO 119 – Maximum benefit exhausted/met: May I know the claim received and denial date? Check Box number 24B. If the place of service is 23, then request the rep to send the claim back for reprocessing stating emergency services doesn’t require an authorization. Notes: Use code 16 with appropriate claim payment remark code. D18: Claim/Service has missing diagnosis information. Start: 01/01/1995 | Stop: 06/30/2007 Notes: Use code 16 with appropriate claim payment remark code. D19: Claim/Service lacks Physician/Operative or other supporting documentation Start: 01/01/1995 | Stop: 06/30/2007 CO 24 Denial Code: The CO-24 denial code is a common issue faced by healthcare providers. It indicates that the charges are covered under a capitation agreement or managed care plan. This means the service is already included in a monthly fee your patient’s insurance plan pays to the healthcare provider.How to Address Denial Code 210. The steps to address code 210 are as follows: Review the patient's medical records and documentation to confirm whether pre-certification or authorization was obtained for the services rendered. Ensure that the necessary documentation is complete and accurate. If pre-certification or authorization was obtained ...Denial Code CO 23 – Primary paid more than secondary allowed amount. Denial Code CO 109 – Claim denied as it is not covered by this payer or contractor. Denial Code CO 24 – Claim denied as charges are covered under capitation agreement or managed care plan. Denial Code CO 119 – Claim denied for Maximum Benefit Exhausted.Feb 27, 2022 · • HCPCS codes 80061, 82465, 83718 or 84478, submitted with one of the following ICD-9-CM diagnose codes: • V81.0 -- Special screening for ischemic heart disease • V81.1 -- Special screening for hypertension or • V81.2 -- Special screening for other and unspecified cardiovascular conditions Tips to correct the denied claim Code. Description. Reason Code: 45. Charge exceeds fee schedule/maximum allowable or contracted/legislated fee arrangement. Remark Codes: N88. Alert: This payment is being made conditionally. An HHA episode of care notice has been filed for this patient. When a patient is treated under a HHA episode of care, …Blue Cross Blue Shield denial codes or Commercial ins denials codes list is prepared for the help of executives who are working in denials and AR follow-up.Most of the time when people work on denials they face difficulties to find out the exact reason of denials, so this Blue Cross Blue Shield denial codes or Commercial insurance denials …How to Address Denial Code 115. The steps to address code 115, which indicates a procedure that has been postponed, canceled, or delayed, are as follows: Review the patient's medical records and documentation to determine the reason for the postponement, cancellation, or delay. This may include checking for any notes or orders from the ...Apr 13, 2024 · April 13, 2024 bhvnbc1992. PR204 denial code – When a service/equipment/drug is not covered by the patient’s insurance plan, then those claims will be denied with the PR204 denial code. Which means patient is responsible for the service as the services-billed or drug-code-billed or an equipment-billed are not covered under the patient ... CO 20 and CO 21 Denial Code; CO 23 Denial Code – The impact of prior payer(s) adjudication including payments and/or adjustments; CO 26 CO 27 and CO 28 Denial Codes; CO 31 Denial Code- Patient cannot be identified as our insured; CO 45 Denial Code; CO 97 Denial Code; CO 119 Denial Code – Benefit maximum for this … A reconsideration of a payment determination is a provider right only. When completing the appeal form, select Provider on behalf of self. Providers will receive a reconsideration notification within 45 days of receipt of the request. If a provider disagrees with the determination, they will have the option of requesting a second ... This diagnosis code must then be consistent and relevant for the medical services mentioned. If not, you will receive denial code CO 11. Oftentimes you receive this denial code because there’s a mistake in …How to Address Denial Code 210. The steps to address code 210 are as follows: Review the patient's medical records and documentation to confirm whether pre-certification or authorization was obtained for the services rendered. Ensure that the necessary documentation is complete and accurate. If pre-certification or authorization was obtained ...Claim submitted to incorrect payer. Start: 01/01/1995. 117. Claim requires signature-on-file indicator. Start: 01/01/1995. 118. TPO rejected claim/line because payer name is missing. (Use status code 21 and status code 125 with entity code IN) Start: 01/01/1995 | Last Modified: 07/09/2007 | Stop: 01/01/2008.Resolution for Denial Code CO 4: Here, we need to illustrate this into two ways to resolve the denial code CO 4: Modifier missing; Inappropriate modifier. When modifier missing take the following steps: When you receive the above denial code, then the very first step is to check the services billed with modifiers or not.PR - Patient Responsibility denial code list, PR 1 Deductible Amount PR 2 Coinsurance Amount PR 3 Co-payment Amount PR 204 This service/equipment/drug is not covered under the patient’s current benefit plan PR B1 Non-covered visits. PR B9 Services not covered because the patient is enrolled in a Hospice. We could bill the patient for this …How to Address Denial Code B11. The steps to address code B11 are as follows: 1. Review the claim details: Carefully examine the claim to ensure that all necessary information has been included and is accurate. Check for any missing or incorrect patient demographics, provider information, or service details. 2.Notes: Use code 16 with appropriate claim payment remark code. D18: Claim/Service has missing diagnosis information. Start: 01/01/1995 | Stop: 06/30/2007 Notes: Use code 16 with appropriate claim payment remark code. D19: Claim/Service lacks Physician/Operative or other supporting documentation Start: 01/01/1995 | Stop: 06/30/2007In many cases, denial code CO 11 occurs because of a simple mistake in coding, and the wrong diagnosis code was used. That’s the first thing to check if you get this type of denial. Double-check with the coding department and the patient’s record to ensure there wasn’t a typo or to ensure a diagnosis wasn’t left out accidentally.Dec 4, 2023 · Denial Code CO 16 along with remark codes: When claim denied with the following remark codes, please take up the following action to resolve the claim: MA27, MA36, MA61 and N382 – Missing/incomplete/invalid Patient Name, Social Security Number, entitlement number or name shown on the claim or patient identifier (HICN or MBI) Why We Say, “I’m fine” When We Aren’t: Codependency, Denial, and Avoidance Im fine. We say it all t Im fine. We say it all the time. Its short and sweet. But, often, its not true. ...2. Out-of-network providers: If the services were rendered by healthcare providers who are not part of the patient's insurance network, the claim may be denied with code 242. This can happen if the patient sought care from a specialist or facility that is not covered by their insurance plan. 3. Lack of medical necessity: Insurance companies may ...How to Address Denial Code 204. The steps to address code 204 are as follows: Review the patient's benefit plan: Carefully examine the patient's insurance coverage to ensure that the service, equipment, or drug in question is indeed not covered. Verify the patient's eligibility and any specific limitations or exclusions that may apply.• HCPCS codes 80061, 82465, 83718 or 84478, submitted with one of the following ICD-9-CM diagnose codes: • V81.0 -- Special screening for ischemic heart disease • V81.1 -- Special screening for hypertension or • V81.2 -- Special screening for other and unspecified cardiovascular conditions Tips to correct the denied claimNotes: Use code 16 with appropriate claim payment remark code. D18: Claim/Service has missing diagnosis information. Start: 01/01/1995 | Stop: 06/30/2007 Notes: Use code 16 … How to Address Denial Code 204. The steps to address code 204 are as follows: Review the patient's benefit plan: Carefully examine the patient's insurance coverage to ensure that the service, equipment, or drug in question is indeed not covered. Verify the patient's eligibility and any specific limitations or exclusions that may apply. The steps to address code 151 are as follows: Review the claim: Carefully examine the claim to ensure that all the necessary information has been submitted accurately. Check for any missing or incomplete documentation that may have led to the denial. Verify the services provided: Double-check the number and frequency of services mentioned in ...The steps to address code 177, which indicates that the patient has not met the required eligibility requirements, are as follows: 1. Verify patient eligibility: Review the patient's insurance information and confirm that they meet the eligibility requirements for the specific service or procedure. Check if the patient's coverage is active and ...The current review reason codes and statements can be found below: List of Review Reason Codes and Statements. Please email [email protected] for suggesting a topic to be considered as our next set of standardized review result codes and statements. Page Last Modified: 09/06/2023 04:57 …CO119 Benefit maximum for this time period has been reached. CO12 The diagnosis is inconsistent with the provider type. ... This change to be effective 4/1/2007: at least one remark code must be provided (may be compromised of either the remittance advice remark code or NCPDP Reject .reason code)This product includes CPT which is commercial technical data and/or computer data bases and/or commercial computer software and/or commercial computer software documentation, as applicable which were developed exclusively at private expense by the American Medical Association, 515 North State Street, Chicago, Illinois, 60610. May 2021 top claim submission errors - Maryland. Non-covered charge. Prior to performing or billing a service, ensure that the service is covered under Medicare. Please refer to the Centers for Medicare & Medicaid Services Internet Only Manual, 100-02, Chapter 16. Claim not covered by this payer/contractor. Denials and Action List. 15. PR 31 Denial Code- Patient cannot be identified as our insured. 1. Check with patient’s name, date of birth, first name, last name and SSN#. 2. If representative unable to pull with the above data, then patient may not have policy with that insurance company. 3.Denial code CO-119 or "Maximum Benefit Reached" is likely the result of reaching this therapy services threshold.What does the CO-119 denial code mean?The Medicare beneficiary has reached the maximum allowable …Denial code CO 119 refers to a situation when a healthcare claim is denied due to a benefit maximum for the patient’s policy being reached. In other words, the insurance company …Denial Code CO 109. Most frequently, we receive this denial code CO 109 from Medicare insurance company. It means claim or service not covered by this payer or contractor, you must send the claim or service to the correct payer or contractor. Medicare insurance will deny the claim with denial code CO 109 when the service is covered under an HMO ...How to Address Denial Code 49. The steps to address code 49 are as follows: Review the claim details: Carefully examine the claim to ensure that the service in question is indeed a routine/preventive exam or a diagnostic/screening procedure done in conjunction with a routine/preventive exam. Verify the documentation: Check the medical records ... Common causes of code 197 are: 1. Failure to obtain pre-certification: One of the most common reasons for code 197 is the absence of pre-certification or authorization from the insurance company before providing a specific treatment or procedure. This could be due to oversight or lack of understanding of the insurance company's requirements. Whether you just want to be able to hack a few scripts or make a feature-rich application, writing code can be a little overwhelming with the massive amount of information availabl...Resolution for Denial Code CO 4: Here, we need to illustrate this into two ways to resolve the denial code CO 4: Modifier missing; Inappropriate modifier. When modifier missing take the following steps: When you receive the above denial code, then the very first step is to check the services billed with modifiers or not.Denial Code Resolution. Reason Code 119 | Remark Codes M86. Code. Description. Reason Code: 119. Benefit maximum for this time period or occurrence has …#MAXIMUM BENEFIT EXHAUSTED or MET CO 119/PR 119 #CO119#PR119#DENIALCO119#physician #claim #medicalstudent #medicalbillingandcoding #rcm #rcmbusiness #healt...Suppose assume claim submitted with an incorrect procedure code 99386, in that case insurance will deny the claim with CO 6 denial Code. Because patient age is 23 and the procedure code billed is 99386 (age 40-64 years). So the correct code 99385 should be reported in order to get rid of the denial code CO 6 and reimburse the claim.January 28, 2020 Channagangaiah. Insurances will deny the claim as Denial Code CO 119 – Benefit maximum for this time period or occurrence has been reached or exhausted, whenever the maximum amount or maximum number of visits or units for the time dated under the plans policy is reached.How to Address Denial Code 210. The steps to address code 210 are as follows: Review the patient's medical records and documentation to confirm whether pre-certification or authorization was obtained for the services rendered. Ensure that the necessary documentation is complete and accurate. If pre-certification or authorization was obtained ... code in an explanatory letter we send to you. The chart below contains Cigna's not-payable reason codes, along with their descriptions, specific supporting policy and coverage positions, and clarifying examples. Reason Code Description with Cigna Reimbursement Policy and Coverage Position Examples include, but are not limited to: 100 ICD 10 codes must be used for DOS after 09/30/2015. 8: 031: Claim contains invalid or missing "Patient Reason" diagnosis code: 9: 021: ... along with explanations of the denial codes and what providers need to do to get the claim corrected. Helpful Hints: CHAMPVA Claim Filing for Providers Information about filing accurate claims for CHAMPVA.CO 20 and CO 21 Denial Code; CO 23 Denial Code – The impact of prior payer(s) adjudication including payments and/or adjustments; CO 26 CO 27 and CO 28 Denial Codes; CO 31 Denial Code- Patient cannot be identified as our insured; CO 45 Denial Code; CO 97 Denial Code; CO 119 Denial Code – Benefit maximum for this …Dec 4, 2023 · What is denial code CO 119 – Maximum benefit exhausted/met. It is the benefit limits. It may be either the “Benefit amount” or individual lifetime visits for certain services as per the patient plan and insurance company will start denying those services once the maximum amount paid or maximum number of visits exhausted with the denial code CO 119 – Maximum benefit exhausted/met. The steps to address code 169 (Alternate benefit has been provided) are as follows: 1. Review the patient's insurance policy: Carefully examine the patient's insurance policy to understand the alternate benefits that have been provided. This will help you determine if the services rendered are covered under the alternate benefit.ICD 10 codes must be used for DOS after 09/30/2015. 8: 031: Claim contains invalid or missing "Patient Reason" diagnosis code: 9: 021: ... along with explanations of the denial codes and what providers need to do to get the claim corrected. Helpful Hints: CHAMPVA Claim Filing for Providers Information about filing accurate claims for CHAMPVA.Denial Code Resolution. Reason Code 119 | Remark Codes M86. Code. Description. Reason Code: 119. Benefit maximum for this time period or occurrence has …Remark New Group / Reason / Remark Healthy families partial month eligibility restriction, Date of Service must be greater than or equal to date of Date of Eligibility. CO/26/– and CO/200/– CO/26/N30 : Late claim denial. CO/29/– CO/29/N30 Aid code invalid for DMH. Aid code invalid for Medi-Cal specialty mental health billing. CO/31/– CO ...Notes: Use code 16 with appropriate claim payment remark code. D18: Claim/Service has missing diagnosis information. Start: 01/01/1995 | Stop: 06/30/2007 Notes: Use code 16 …Action on Denial Code CO 119 – Maximum benefit exhausted/met: Call the insurance company and get the denial date. Verify the reason for denial, is it “Benefit …How to Address Denial Code 279. The steps to address code 279 are as follows: 1. Review the patient's insurance information: Verify if the patient's insurance plan has any network limitations or restrictions. Check if the services provided were indeed outside the preferred network providers. 2.Denial Resolution Search. Providers receive results of reviews on their Electronic Remittance Advice (ERA). Search by selecting categories Claim Adjustment Reason Codes (CARC) or Remittance Advice Remark Codes (RARC) and the corresponding code below. Category. Code. Search. CARC CO119 (RARC N362) Reason Corrective Action; …CO 20 and CO 21 Denial Code; CO 23 Denial Code – The impact of prior payer(s) adjudication including payments and/or adjustments; CO 26 CO 27 and CO 28 Denial Codes; CO 31 Denial Code- Patient cannot be identified as our insured; CO 45 Denial Code; CO 97 Denial Code; CO 119 Denial Code – Benefit maximum for this …This product includes CPT which is commercial technical data and/or computer data bases and/or commercial computer software and/or commercial computer software documentation, as applicable which were developed exclusively at private expense by the American Medical Association, 515 North State Street, Chicago, Illinois, 60610.Resolution for Denial Code CO 4: Here, we need to illustrate this into two ways to resolve the denial code CO 4: Modifier missing; Inappropriate modifier. When modifier missing take the following steps: When you receive the above denial code, then the very first step is to check the services billed with modifiers or not.How to Address Denial Code 115. The steps to address code 115, which indicates a procedure that has been postponed, canceled, or delayed, are as follows: Review the patient's medical records and documentation to determine the reason for the postponement, cancellation, or delay. This may include checking for any notes or orders from the ...Remark code - N357, M119, M123, M2, M50, M54 & N129, N130, N19 45 Charges exceeds fee schedule/maximum allowable or contracted/legislated fee arrangement. (Use Group Codes PR or CO depending upon liability). SUBMITTED CHARGE ON 340B CLAIM TOO HIGH 50 These are non-covered services because this is not deemed a `medical …We would like to show you a description here but the site won’t allow us.How to Address Denial Code 189. The steps to address code 189 are as follows: Review the billed procedure/service: Carefully examine the procedure or service that was billed using the "not otherwise classified" or "unlisted" procedure code (CPT/HCPCS). Ensure that there is not a specific procedure code available for this particular service.Debra WeiMay 7, 2021 The first step after a credit card denial is to find out what went wrong. There are a variety of reasons why a credit card application might get declined, but ...0178 Invalid Diagnosis Code The primary diagnosis is not valid. Please verify that the diagnosis code is valid and is in the correct format. 0370 Wrong Procedure Code Billed Check your claim to verify that the correct/valid procedure code was billed, if you feel the code is correct call the Provider Helpline to verify the code billedDenial code 192 is a non-standard adjustment code used by providers/payers to provide Coordination of Benefits information to another payer. It is used when the non-standard code cannot be mapped to an existing Claims Adjustment Reason Code for Deductible, Coinsurance, and Co-payment. 192.Whether you just want to be able to hack a few scripts or make a feature-rich application, writing code can be a little overwhelming with the massive amount of information availabl...For information on denials/rejections, please refer to our Issues, denials, rejections & top errors page ( JH ) ( JL ). For additional questions regarding Medicare billing, medical record submission, processing and/or payment, please contact Customer Service at: (JL) 877-235-8073, Monday – Friday 8 a.m. – 4 p.m. ET.The steps to address code 59 are as follows: Review the claim details: Carefully examine the claim to ensure that all procedures and services billed are accurate and necessary. Verify if multiple procedures were performed during the same session or if concurrent procedures were conducted. Check for documentation: Review the medical records to ...Jan 1, 2014 · Remark New Group / Reason / Remark CO/171/M143. CO/16/N521. Beneficiary not eligible. CO/177. PR/177. Only SED services are valid for Healthy Families aid code. CO/185. CO/96/N216. Therapeutic Behavioral Service valid only with a Full Scope Aid Code and an EPSDT Aid Code. Services restricted to EPSDT clients valid only with a Full Scope, EPSDT ... code in an explanatory letter we send to you. The chart below contains Cigna's not-payable reason codes, along with their descriptions, specific supporting policy and coverage positions, and clarifying examples. Reason Code Description with Cigna Reimbursement Policy and Coverage Position Examples include, but are not limited to: 100How to Address Denial Code 24. The steps to address code 24, which indicates that charges are covered under a capitation agreement/managed care plan, are as follows: Review the patient's insurance information: Verify that the patient is indeed covered under a capitation agreement or managed care plan. Check the insurance card or contact the ... How to Address Denial Code 11. The steps to address code 11 are as follows: Review the medical documentation: Carefully examine the medical records to ensure that the diagnosis provided aligns with the procedure performed. Look for any discrepancies or inconsistencies that may have led to the code being triggered.
The denial code CO-11 denotes a claim with an incorrect diagnosis code for the procedure. An essential tool for describing the medical issue during a visit to the doctor is a diagnosis code. The diagnosis code must then be accurate and pertinent for the listed medical services. If not, you will be given the CO-11 denial code.. Kynectbenefits
Denial Code Resolution. View the most common claim submission errors below. To access a denial description, select the applicable Reason/Remark code found on Noridian's Remittance Advice. Select the Reason or Remark code link below to review supplier solutions to the denial and/or how to avoid the same denial in the future.Procedure code is a part of another procedure code (usually surgical procedure code) will be denied as inclusive/incidental. It is related to E&M services that are billed within the global period after a surgical procedure performed and those E & M will not be reimbursed as insurance company will deny with denial code CO 97 as this is …How to Address Denial Code 112. The steps to address code 112 are as follows: 1. Review the documentation: Carefully examine the medical records and ensure that the service in question was indeed not furnished directly to the patient. Look for any discrepancies or missing information that may have led to the code being triggered.Jul 6, 2022 · DOS 04/10/2022 as per review found the claim with billed $1500.00 was submitted on 04/15/2022 and no response received yet, called payer UHC @ 888-824-3120 spoke with Sandy stated that the claim was received on 04/20/2022 and denied on 04/25/2022 stating maximum benefits has been met. Verified about maximum benefits in terms of dollar or visit ... MSN 18.20 and 18.21 and ANSI reason code A1 with remark codes M86 and M90 that was removed from the Change Request. All other information remains the same. SUBJECT: MSN Messages and Reason Codes for Mammography I. GENERAL INFORMATION A. Background: The current IOM needs to be updated with more reason codes and remark …Denial Code Resolution. View the most common claim submission errors below. To access a denial description, select the applicable Reason/Remark code found on Noridian's Remittance Advice. Select the Reason or Remark code link below to review supplier solutions to the denial and/or how to avoid the same denial in the future.Code Number Remark Code Reason for Denial 1 Deductible amount. 2 Coinsurance amount. 3 Co-payment amount. 4 The procedure code is inconsistent with the modifier used, or a required modifier is missing. 4 M114 N565 HCPCS code is inconsistent with modifier used or a required modifier is missingDec 6, 2019 · If you see the procedure codes list 99381 to 99387 (New patient Initial comprehensive preventive medicine), it should bee coded based on the patient's age. 99381 coded when patient's age younger than 1 year. 99382 coded when patient's age 1 through 4 years. 99383 age 5 through 11 years. 99384 age 12 through 17 years. Code Number Remark Code Reason for Denial 1 Deductible amount. 2 Coinsurance amount. 3 Co-payment amount. 4 The procedure code is inconsistent with the modifier used, or a required modifier is missing. 4 M114 N565 HCPCS code is inconsistent with modifier used or a required modifier is missingThe current review reason codes and statements can be found below: List of Review Reason Codes and Statements. Please email [email protected] for suggesting a topic to be considered as our next set of standardized review result codes and statements. Page Last Modified: 09/06/2023 04:57 PM. Help with File Formats and Plug-Ins.CO119 Benefit maximum for this time period or occurrence has been reached. OA121 Indemnification adjustment. OA122 Psychiatric reduction. CO125 Payment adjusted due to a submission/billing error(s). At least one Remark Code must be provided (may be comprised of either the Remittance Advice Remark Code or NCPDP Reject Reason Code.)CO 20 and CO 21 Denial Code; CO 23 Denial Code – The impact of prior payer(s) adjudication including payments and/or adjustments; CO 26 CO 27 and CO 28 Denial Codes; CO 31 Denial Code- Patient cannot be identified as our insured; CO 45 Denial Code; CO 97 Denial Code; CO 119 Denial Code – Benefit maximum for this …The steps to address code 59 are as follows: Review the claim details: Carefully examine the claim to ensure that all procedures and services billed are accurate and necessary. Verify if multiple procedures were performed during the same session or if concurrent procedures were conducted. Check for documentation: Review the medical records to ...Whenever claim denied with CO 197 denial code, we need to follow the steps to resolve and reimburse the claim from insurance company: First step is to verify the denial reason and get the denial date. Next step verify the application to see any authorization number available or not for the services rendered. If authorization number …CO 29 Late claim denial. CO 31 Aid code invalid for DMH. CO 109 and 199 Invalid revenue code, procedure code, and modifier combination. CO 109 M51 Invalid procedure code and modifier combination. CO 110 N59 Service date cannot be later than submission date. CO 119 N20 Single service exceeds maximum minutes per day.Common CARC Causing CO 16 Denial: 1.16 (Errors or Lack of Information in Claim/Service): CO-16 is directly linked to claims or services with errors or missing information. Resolution: Identify and rectify errors or missing details in the claim submission to prevent CO-16 denials. 2.119 (Benefit Maximum Reached): CO-16 may accompany claims ...The steps to address code 222 are as follows: Review the contract agreement: Examine the contract between your healthcare organization and the payer to determine the maximum number of hours, days, or units allowed for the specified period. This information should be clearly outlined in the contract. Verify the billed amount: Double-check the ...Reason Code Remark Code(s) Denial Denial Description; 16: M51 | N56: Missing/Incorrect Required Claim Information: Claim/service lacks information or has submission/billing error(s). Usage: Refer to the 835 Healthcare Policy Identification Segment (loop 2110 Service Payment Information REF), if present. Missing/incomplete/invalid procedure code(s).Denial Code Resolution. View the most common claim submission errors below. To access a denial description, select the applicable Reason/Remark code found on Noridian's Remittance Advice. Select the Reason or Remark code link below to review supplier solutions to the denial and/or how to avoid the same denial in the future.When claim denied CO 20 and CO 21 denial code – we need to first follow the below steps to resolve the issue: Review other Date of service with same CPT/DX code to conclude if they were processed as medical or injury related. Review patient documentation to ascertain if the healthcare service pertains to injury.Some denial codes point you to another layer, remark codes. Remark codes get even more specific. On a particular claim, you might receive the reason code CO-16 (Claim/service lacks information which is needed for adjudication. At least one Remark Code must be provided). By itself the CO-16 is informational only and doesn’t ….