The most confused denial – CO 16 Claim/service lacks information
which is needed for adjudication. Additional information is supplied using remittance advice.
When ever you received this denial please see the additional code for which will descripe what the info was required. It could be some of the belows.
(DENIED-RENDERING PHYSICIAN #INVALID/MISSING. SUBMIT A NEW CLAIM)
(REFERRING NAME AND UPIN REQUIRED. RESUBMIT AS A NEW CLAIM.)
(DENIED-CLIA NUMBER INVALID OR MISSING.)
Tips and Resources
• When group information is entered in Item 33a (NPI), the individual NPI should be entered in Item 24J
• Rendering NPI is entered in the lower, unshaded section
• Referring provider information must be included in item 17 and 17b
• Regarding CLIA, this number should be printed on box #23 for all the lab codes.
Links are simillar denials and solutions
https://whatismedicalinsurancebilling.org/2009/06/denial-and-actions-co-b16.html
https://whatismedicalinsurancebilling.org/2009/02/medicare-remittance-review-part-4.html
https://whatismedicalinsurancebilling.org/2009/02/medicare-remittance-advice-part-3.html
https://whatismedicalinsurancebilling.org/2009/01/medicare-remittance-advice-and.html
https://whatismedicalinsurancebilling.org/2008/09/medicare-denial-and-action-enrolled-in.html
