Reason Code: CO16/ Remarks Code: MA112

Reason Code: CO16
Definition: Claim/service lacks information which is needed for adjudication.
Remarks Code: MA112
Definition: Missing/incomplete/invalid group practice information.
Remarks Code: N290
Definition: Missing/incomplete/invalid rendering provider information.

The rejection comes from two possible reasons. The reasons are:
1. The information located in Item 24J or Loop 2310B for the provider performing the service (rendering provider) is missing or invalid or the group information (group practice information) located in Item 33 or Loop 2010AA is missing or invalid. Please verify the information was included on the claim and transmitted to WPS Medicare.

For electronic submission contact our Electronic Data Interchange (EDI) Department at:

Illinois Minnesota Wisconsin
(877) 567-7261
8:30 am to 12:00 pm and
12:35 pm to 4:00 pm
CT M-F
(877) 567-7261
8:30 am to 12:00 pm and
12:35 pm to 4:00 pm
CT M-F
(877) 567-7261
8:30 am to 12:00 pm and
12:35 pm to 4:00 pm
CT M-F

2. The information located in Item 24J or loop 2310B for the provider performing the service (rendering provider) is not associated to the group information (group practice information) located in Item 33 or loop 2010AA. Please contact provider enrollment to verify/update the information. A list of phone numbers is provided at http://www.wpsmedicare.com/part_b/contact_us/

Page Last Updated: Wednesday, 17-Apr-2013 15:04:58 CDT