Medicare Claims Processing Manual (Pub. 100-04), Ch. 16 § 70.10.1
Physician Notification of Denials
70.10.1 - Physician Notification of Denials
(Rev. 3510, Issued: 04-29-16, Effective: 10-01-16, Implementation; 10-03-16)
If there is no CLIA number on the claim, the contractor shall use the following
remittance advice message and associated codes when rejecting/denying claims under
this policy. This CARC/RARC combination is compliant with CAQH CORE Business
Scenario Two
Group Code: CO or PR
CARC: 16
RARC: MA120
MSN: N/A