WebAdjustment Group Code Description CO Contractual Obligation CR Corrections and Reversal OA Other Adjustment PI Payer Initiated Reductions PR Patient Responsibility Reason Code Description 1 Deductible Amount 2 Coinsurance Amount 3 Co-payment Amount 4 The procedure code is inconsistent with the modifier used or a required … WebIn the above example the claim was denied with two codes, the Adjustment Reason Code of 16 and then the explanatory Remark Code of N329 (Missing/incomplete/invalid patient birth date). Definitions and text of all the Claim Adjustment Reason Codes and the Remittance Advice Remark Codes used on the claim will be printed on the last page of …

CMS Manual System - Centers for Medicare & Medicaid …

WebOct 17, 2024 · Fee Schedule (PFS) then the following codes will be displayed on the RA: • CARC 144: "Incentive adjustment, e.g. preferred product/service" • RARC N807: "Payment adjustment based on the Merit-based Incentive Payment System (MIPS)." • Group Code: CO. This group code is used when a contractual agreement between the payer http://www.insuranceclaimdenialappeal.com/2011/02/medicare-denial-code-co-16-m67-m76.html north okinawa beach resorts

How to work on denial code - ARLearningOnline

WebState Class Code Description Loss Cost Eff Date; AK: 9516: Electronic Equipment--Installation, Service, or Repair--Shop and Outside & Drivers: AL: 9516: Electronic … WebCO (Contractual Obligations) is the amount between what you billed and the amount allowed by the payer when you are in-network with them. This is the amount that the provider is contractually obligated to adjust from the claim. The patient is … WebCO-16 M49 indicates an issue with the rate table in the provider's Medicaid profile, CO-16 MA130 indicates that there is incomplete information in the provider's Medicaid profile. To correct either issue, providers should contact the BEI. The BEI can be reached by phone at (518) 473-7016 or by email at [email protected]. northolme practice kos clinic