Why would my claim deny CO-16 (Remark code MA114, claim service lacks information which is needed for adjudication. Missing/incomplete/invalid information on where the services were furnished)?
This denial may be related to the information on the claim regarding the facility where the beneficiary is located. For example, if the place of service is 31 – Skilled Nursing Facility (SNF), then block 32 of the CMS-1500 Health Insurance Claim Form would need to contain that SNF’s name and address. Likewise, block 32a would need to contain that SNF’s NPI number. In a case where block 32 is blank or 32a contains an invalid NPI, and the place of service on the claim is 31, the claim would deny. If the place of service was incorrectly filled out, then resubmit the claim with the correct place of service. Note: This type of denial cannot be corrected through Reopenings or Appeals. If you have found that you billed incorrectly and received this denial, you must resubmit the claim with the correct information in order for it to process correctly.
Related Questions
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