Medicare Claims Processing Manual (Pub. 100-04), Ch. 16 § 70.10.1

Physician Notification of Denials

Last amended: 2016Year: 2016Length: 63 wordsOfficial source
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
Medicare Claims Processing Manual (Pub. 100-04), Ch. 16 § 70.10.1: Physician Notification of Denials | Justis AI