A0 Patient refund amount.
A1 Claim denied charges.
A4 Medicare Claim PPS Capital Day Outlier Amount.
A5 Medicare Claim PPS Capital Cost Outlier Amount.
A6 Prior hospitalization or 30 day transfer requirement not met.
A7 Presumptive Payment Adjustment
A8 Claim denied; ungroup able DRG
B1 Non-covered visits.
B4 Late filing penalty.
B5 Payment adjusted because coverage/program guidelines were not met or were exceeded.
B6 This payment is adjusted when performed/billed by this type of provider, by this type of provider in this type of facility, or by a provider of this specialty.
B7 This provider was not certified / eligible to be paid for this procedure/service on this date of service.
B8 Claim/service not covered/reduced because alternative services were available, and should have been utilized.
B9 Services not covered because the patient is enrolled in a Hospice.
B10 Allowed amount has been reduced because a component of the basic procedure/test was paid. The beneficiary is not liable for more than the charge limit for the basic Procedure / test.
B11 The claim/service has been transferred to the proper payer/processor for processing.
Claim/service not covered by this payer/processor.
B12 Services not documented in patients' medical records.
B13 Previously paid. Payment for this claim/service may have been provided in a previous payment.
B14 Payment denied because only one visits or consultation per physician per day is covered.
B15 Payment adjusted because this procedure/service is not paid separately.
B16 Payment adjusted because `New Patient' qualifications were not met.
B17 Payment adjusted because this service was not prescribed by a physician, not prescribed prior to delivery, the prescription is incomplete, or the prescription is not current.
B18 Payment adjusted because this procedure code and modifier were invalid on the date of service
B19 Claim/service adjusted because of the finding of a Review Organization.
B20 Payment adjusted because procedure/service was partially or fully furnished by another provider.
B21 The charges were reduced because the service/care was partially furnished by another physician.
B22 This payment is adjusted based on the diagnosis.
B23 Payment denied because this provider has failed an aspect of a proficiency testing program.
D21 This (these) diagnosis (are) missing or are invalid
W1 Workers Compensation State Fee Schedule Adjustment
M1 X-ray not taken within the past 12 months or near enough to the start of treatment.
M2 Not paid separately when the patient is an inpatient.
M3 Equipment is the same or similar to equipment already being used.
M4 This is the last monthly installment payment for this durable medical equipment.
M5 Monthly rental payments can continue until the earlier of the 15th month from the first rental month, or the month when the equipment is no longer needed.
M6 You must furnish and service this item for as long as the patient continues to need it.
We can pay for maintenance and/or servicing for every 6 month period after the end of the 15th paid rental month or the end of the warranty period.
M7 No rental payment after the item is purchased, or after the total of issued rental payments equals the purchase price.
M8 We do not accept blood gas tests results when the test was conducted by a medical supplier or taken while the patient is on oxygen.
M9 This is the tenth rental month. You must offer the patient the choice of changing the rental to a purchase agreement.
M10 Equipment purchases are limited to the first or the tenth month of medical necessity.
M11 DME, orthotics and prosthetics must be billed to the DME carrier who services the patient's zip code.
M12 Diagnostic tests performed by a physician must indicate whether purchased services are included on the claim.
M13 Only one initial visit is covered per specialty per medical group.
M14 No separate payment for an injection administered during an office visit and no payment for a full office visit if the patient only received an injection.
M15 Separately billed services/tests have been bundled as they are considered components of the same procedure. Separate payment is not allowed.
M16 Please see the letter or bulletin of for further information.
M17 Payment approved as you did not know, and could not reasonably have been expected to know, that this would not normally have been covered for this patient. In the future, you will be liable for charges for the same service(s) under the same or similar conditions.
M18 Certain services may be approved for home use. Neither a hospital nor a Skilled
Nursing Facility (SNF) is considered to be a patient's home.
M19 Missing oxygen certification / re-certification.
M20 Missing / incomplete/invalid HCPCS.
M21 Missing/incomplete/invalid place of residence for this service/item provided in a home.
M22 Missing/incomplete/invalid number of miles traveled.
M23 Missing invoice.
M24 Missing/incomplete/invalid number of doses per vial.
M25 Payment has been adjusted because the information furnished does not substantiate the need for this level of service. If you believe the service should have been fully covered as billed, or if you did not know and could not reasonably have been expected to know that we would not pay for this level of service, or if you notified the patient in writing in advance that we would not pay for this level of service and he/she agreed in writing to pay, ask us to review your claim within 120 days of the date of this notice. If you do not request a appeal, we will, upon application from the patient, reimburse him/her for the amount you have collected from him/her in excess of any deductible and coinsurance amounts. We will recover the reimbursement from you as an overpayment.
M26 Payment has been adjusted because the information furnished does not substantiate the need for this level of service. If you have collected any amount from the patient for this level of service /any amount that exceeds the limiting charge for the less extensive service, the law requires you to refund that amount to the patient within 30 days of receiving this notice.
M27 The patient has been relieved of liability of payment of these items and services under the limitation of liability provision of the law. You, the provider, are ultimately liable for the patient's waived charges, including any charges for coinsurance, since the items or services were not reasonable and necessary or constituted custodial care, and you knew or could reasonably have been expected to know, that they were not covered. You may appeal this determination. You may ask for an appeal regarding both the coverage determination and the issue of whether you exercised due care. The appeal request must be filed within 120 days of the date you receive this notice. You must make the request through this office.
M28 This does not qualify for payment under Part B when Part A coverage is exhausted or not otherwise available.
M29 Missing operative report.
M30 Missing pathology report.
M31 Missing radiology report.
M32 This is a conditional payment made pending a decision on this service by the patient's primary payer. This payment may be subject to refund upon your receipt of any additional payment for this service from another payer. You must contact this office immediately upon receipt of an additional payment for this service.
M33 Missing/incomplete/invalid UPIN for the ordering/referring/performing provider.
M34 Claim lacks the CLIA certification number.
M35 Missing/incomplete/invalid pre-operative photos or visual field results.
M36 This is the 11th rental month. We cannot pay for this until you indicate that the patient has been given the option of changing the rental to a purchase.
M37 Service not covered when the patient is under age 35.
M38 The patient is liable for the charges for this service as you informed the patient in writing before the service was furnished that we would not pay for it, and the patient agreed to pay.
M39 The patient is not liable for payment for this service as the advance notice of no coverage you provided the patient did not comply with program requirements.
M40 Claim must be assigned and must be filed by the practitioner's employer.
M41 We do not pay for this as the patient has no legal obligation to pay for this.
M42 The medical necessity form must be personally signed by the attending physician.
M43 Payment for this service previously issued to you or another provider by another carrier/intermediary.
M44 Missing/incomplete/invalid condition code.
M45 Missing/incomplete/invalid occurrence code(s).
M46 Missing/incomplete/invalid occurrence span code(s).
M47 Missing/incomplete/invalid internal or document control number.
M48 Payment for services furnished to hospital inpatients can only be made to the hospital. You must request payment from the hospital rather than the patient for this service.
M49 Missing/incomplete/invalid value code(s) or amount(s).
M50 Missing/incomplete/invalid revenue code(s).
M51 Missing/incomplete/invalid procedure code(s).
M52 Missing/incomplete/invalid “from” date(s) of service.
M53 Missing/incomplete/invalid days or units of service.
M54 Missing/incomplete/invalid total charges.
M55 We do not pay for self-administered anti-emetic drugs that are not administered with a covered oral anti-cancer drug.
M56 Missing/incomplete/invalid payer identifier.
M57 Missing/incomplete/invalid provider identifier.
M58 Missing/incomplete/invalid claim information. Resubmit claim after corrections.
M59 Missing/incomplete/invalid “to” date(s) of service.
M60 Missing Certificate of Medical Necessity.
M61 We cannot pay for this as the approval period for the FDA clinical trial has expired.
M62 Missing/incomplete/invalid treatment authorization code.
M63 We do not pay for more than one of these on the same day.
M64 Missing/incomplete/invalid other diagnosis.
M65 One interpreting physician charge can be submitted per claim when a purchased diagnostic test is indicated. Please submit a separate claim for each interpreting physician.
M66 Our records indicate that you billed diagnostic tests subject to price limitations and the procedure code submitted includes a professional component. Only the technical component is subject to price limitations. Please submit the technical and professional components of this service as separate line items.
M67 Missing/incomplete/invalid other procedure code(s).
M68 Missing/incomplete/invalid attending, ordering, rendering, supervising or referring physician identification.
M69 Paid at the regular rate as you did not submit documentation to justify the modified procedure code.
M70 NDC code submitted for this service was translated to a HCPCS code for processing, but please continues to submit the NDC on future claims for this item.
M71 Total payment reduced due to overlap of tests billed.
M72 Did not enter full 8-digit date (MM/DD/CCYY).
M73 The HPSA/Physician Scarcity bonus can only be paid on the professional component of This service. Rebill as separate professional and technical components.
M74 This service does not qualify for a HPSA/Physician Scarcity bonus payment.
M75 Allowed amount adjusted. Multiple automated multi channel tests performed on the same day combined for payment.
M76 Missing/incomplete/invalid diagnosis or condition.
M77 Missing/incomplete/invalid place of service.
M78 Missing/incomplete/invalid HCPCS modifier.
M79 Missing/incomplete/invalid charge.
M80 Not covered when performed during the same session/date as a previously processed service for the patient.
M81 You are required to code to the highest level of specificity.
M82 Service is not covered when patient is under age 50.
M83 Service is not covered unless the patient is classified as at high risk.
M84 Medical code sets used must be the codes in effect at the time of service
M85 Subjected to review of physician evaluation and management services.
M86 Service denied because payment already made for same/similar procedure within set time frame.
M87 Claim/service(s) subjected to CFO-CAP prepayment review.
M89 Not covered more than once under age 40.
M90 Not covered more than once in a 12 month period.
M91 Lab procedures with different CLIA certification numbers must be billed on separate claims.
M93 Information supplied supports a break in therapy. A new capped rental period began with delivery of this equipment.
M94 Information supplied does not support a break in therapy. A new capped rental period will not begin.
M95 Services subjected to Home Health Initiative medical review/cost report audit.
M96 The technical component of a service furnished to an inpatient may only be billed by that inpatient facility. You must contact the inpatient facility for technical component reimbursement. If not already billed, you should bill us for the professional component only.
M97 Not paid to practitioner when provided to patient in this place of service. Payment included in the reimbursement issued the facility.
M99 Missing/incomplete/invalid Universal Product Number/Serial Number.
M100 We do not pay for an oral anti-emetic drug that is not administered for use immediately before, at, or within 48 hours of administration of a covered chemotherapy drug.
M102 Service not performed on equipment approved by the FDA for this purpose.
M103 Information supplied supports a break in therapy. However, the medical information we have for this patient does not support the need for this item as billed. We have approved payment for this item at a reduced level, and a new capped rental period will begin with the delivery of this equipment.
M104 Information supplied supports a break in therapy. A new capped rental period will begin with delivery of the equipment. This is the maximum approved under the fee schedule for this item or service.
M105 Information supplied does not support a break in therapy. The medical information we have for this patient does not support the need for this item as billed. We have approved payment for this item at a reduced level, and a new capped rental period will not begin.
M107 Payment reduced as 90-day rolling average hematocrit for ESRD patient exceeded
36.5%.
M109 We have provided you with a bundled payment for a tele consultation. You must send
25 percent of the tele consultation payment to the referring practitioner.
M111 We do not pay for chiropractic manipulative treatment when the patient refuses to have an x-ray taken.
M112 The approved amount is based on the maximum allowance for this item under the
DMEPOS Competitive Bidding Demonstration.
M113 Our records indicate that this patient began using this service(s) prior to the current round of the DMEPOS Competitive Bidding Demonstration. Therefore, the approved amount is based on the allowance in effect prior to this round of bidding for this item.
M114 This service was processed in accordance with rules and guidelines under the
Competitive Bidding Demonstration Project. M115 This item is denied when provided to this patient by a non-demonstration supplier.
M116 Paid under the Competitive Bidding Demonstration project. Project is ending, and future services may not be paid under this project.
M117 Not covered unless submitted via electronic claim.
M118 Letter to follow containing further information.
M119 Missing/incomplete/invalid/ deactivated/withdrawn National Drug Code (NDC).
M121 We pay for this service only when performed with a covered cryosurgical ablation.
M122 Missing/incomplete/invalid level of subluxation.
M123 Missing/incomplete/invalid name, strength, or dosage of the drug furnished.
M124 Missing indication of whether the patient owns the equipment that requires the part or supply.
M125 Missing/incomplete/invalid information on the period of time for which the service/supply/equipment will be needed.
M126 Missing/incomplete/invalid individual lab codes included in the test.
M127 Missing patient medical record for this service.
M129 Missing/incomplete/invalid indicator of x-ray availability for review.
M130 Missing invoice or statement certifying the actual cost of the lens, less discounts, and/or the type of intraocular lens used.
M131 Missing physician financial relationship form.
M132 Missing pacemaker registration form.
M133 Claim did not identify who performed the purchased diagnostic test or the amount you were charged for the test.
M134 Performed by a facility/supplier in which the provider has a financial interest.
M135 Missing/incomplete/invalid plan of treatment.
M136 Missing/incomplete/invalid indication that the service was supervised or evaluated by a physician.
M137 Part B coinsurance under a demonstration project.
M138 Patient identified as a demonstration participant but the patient was not enrolled in the demonstration at the time services were rendered. Coverage is limited to demonstration participants.
M139 Denied services exceed the coverage limit for the demonstration.
M141 Missing physician certified plan of care.
M142 Missing American Diabetes Association Certificate of Recognition.
M143 We have no record that you are licensed to dispensed drugs in the State where located.
M144 Pre-/post-operative care payment is included in the allowance for the surgery/procedure.
MA01 If you do not agree with what we approved for these services, you may appeal our decision. To make sure that we are fair to you, we require another individual that didn’t process your initial claim to conduct the appeal. However, in order to be eligible for an appeal, you must write to us within 120 days of the date you received this notice, unless you have a good reason for being late.
MA02 If you do not agree with this determination, you have the right to appeal. You must file a written request for an appeal within 120 days of the date you receive this notice.
Decisions made by a Quality Improvement Organization (QIO) must be appealed to that QIO within 60 days.
MA03 If you do not agree with the approved amounts and $100 or more is in dispute, you may ask for a hearing within six months of the date of this notice. To meet the $100, you may combine amounts on other claims that have been denied, including reopened appeals if you received a revised decision. You must appeal each claim on time. At the reconsideration, you must present any new evidence which could affect our decision.
MA04 Secondary payment cannot be considered without the identity of or payment information from the primary payer. The information was either not reported or was illegible.
MA07 The claim information has also been forwarded to Medicaid for review.
MA08 You should also submit this claim to the patient's other insurer for potential payment of supplemental benefits. We did not forward the claim information as the supplemental coverage is not with a Medigap plan, or you do not participate in Medicare.
MA09 Claim submitted as unassigned but processed as assigned. You agreed to accept assignment for all claims.
MA10 The patient's payment was in excess of the amount owed. You must refund the overpayment to the patient.
MA12 You have not established that you have the right under the law to bill for services furnished by the person(s) that furnished this (these) service(s).
MA13 You may be subject to penalties if you bill the patient for amounts not reported with the PR (patient responsibility) group code.
MA14 Patient is a member of an employer-sponsored prepaid health plan. Services from outside that health plan are not covered. However, as you were not previously notified of this, we are paying this time. In the future, we will not pay you for non-plan services.
MA15 Your claim has been separated to expedite handling. You will receive a separate notice for the other services reported.
MA16 The patient is covered by the Black Lung Program. Send this claim to the Department of Labor, Federal Black Lung Program, P.O. Box 828, and Lanham-Seabrook MD 20703.
MA17 We are the primary payer and have paid at the primary rate. You must contact the patient's other insurer to refund any excess it may have paid due to its erroneous primary payment.
MA18 The claim information is also being forwarded to the patient's supplemental insurer.
Send any questions regarding supplemental benefits to them.
MA19 Information was not sent to the Medigap insurer due to incorrect/invalid information you submitted concerning that insurer. Please verify your information and submit your secondary claim directly to that insurer.
MA20 Skilled Nursing Facility (SNF) stay not covered when care is primarily related to the use of an urethral catheter for convenience or the control of incontinence.
MA21 SSA records indicate mismatch with name and sex.
MA22 Payment of less than $1.00 suppressed.
MA23 Demand bill approved as result of medical review.
MA24 Christian Science Sanitarium/ Skilled Nursing Facility (SNF) bill in the same benefit period.
MA25 A patient may not elect to change a hospice provider more than once in a benefit period.
MA26 Our records indicate that you were previously informed of this rule.
MA27 Missing/incomplete/invalid entitlement number or name shown on the claim.
MA28 Receipt of this notice by a physician or supplier who did not accept assignment is for information only and does not make the physician or supplier a party to the determination. No additional rights to appeal this decision, above those rights already provided for by regulation/instruction, are conferred by receipt of this notice.
MA30 Missing/incomplete/invalid type of bill.
MA31 Missing/incomplete/invalid beginning and ending dates of the period billed.
MA32 Missing/incomplete/invalid number of covered days during the billing period.
MA33 Missing/incomplete/invalid no covered days during the billing period.
MA34 Missing/incomplete/invalid number of coinsurance days during the billing period.
MA35 Missing/incomplete/invalid number of lifetime reserve days.
MA36 Missing/incomplete/invalid patient name.
MA37 Missing/incomplete/invalid patient's address.
MA38 Missing/incomplete/invalid birth date.
MA39 Missing/incomplete/invalid gender.
MA40 Missing/incomplete/invalid admission date.
MA41 Missing/incomplete/invalid admission type.
MA42 Missing/incomplete/invalid admission source.
MA43 Missing/incomplete/invalid patient status.
MA44 No appeal rights. Adjudicative decision based on law.
MA45 As previously advised, a portion or all of your payment is being held in a special account.
MA46 The new information was considered, however, additional payment cannot be issued.
Please review the information listed for the explanation.
MA47 Our records show you have opted out of Medicare, agreeing with the patient not to bill
Medicare for services/tests/supplies furnished. As result, we cannot pay this claim. The patient is responsible for payment.
MA48 Missing/incomplete/invalid name or address of responsible party or primary payer.
MA50 Missing/incomplete/invalid Investigational Device Exemption number for FDA-approved clinical trial services.
MA53 Missing/incomplete/invalid Competitive Bidding Demonstration Project identification.
MA54 Physician certification or election consent for hospice care not received timely.
MA55 Not covered as patient received medical health care services, automatically revoking his/her election to receive religious non-medical health care services.
MA56 Our records show you have opted out of Medicare, agreeing with the patient not to bill
Medicare for services/tests/supplies furnished. As result, we cannot pay this claim. The patient is responsible for payment, but under Federal law, you cannot charge the patient more than the limiting charge amount.
MA57 Patient submitted written request to revoke his/her election for religious non-medical health care services.
MA58 Missing/incomplete/invalid release of information indicator.
MA59 The patient overpaid you for these services. You must issue the patient a refund within
30 days for the difference between his/her payment and the total amount shown as patient responsibility on this notice.
MA60 Missing/incomplete/invalid patient relationship to insured.
MA61 Missing/incomplete/invalid social security number or health insurance claim number.
MA62 Telephone review decision.
MA63 Missing/incomplete/invalid principal diagnosis.
MA64 Our records indicate that we should be the third payer for this claim. We cannot process this claim until we have received payment information from the primary and secondary payers.
MA65 Missing/incomplete/invalid admitting diagnosis.
MA66 Missing/incomplete/invalid principal procedure code.
MA67 Correction to a prior claim.
MA68 We did not crossover this claim because the secondary insurance information on the claim was incomplete. Please supply complete information or use the PLANID of the insurer to assure correct and timely routing of the claim.
MA69 Missing/incomplete/invalid remarks.
MA70 Missing/incomplete/invalid provider representative signature.
MA71 Missing/incomplete/invalid provider representative signature date.
MA72 The patient overpaid you for these assigned services. You must issue the patient a refund within 30 days for the difference between his/her payment to you and the total of the amount shown as patient responsibility and as paid to the patient on this notice.
MA73 Informational remittance associated with a Medicare demonstration. No payment issued under fee-for-service Medicare as patient has elected managed care.
MA74 This payment replaces an earlier payment for this claim that was lost, damaged or returned.
MA75 Missing/incomplete/invalid patient or authorized representative signature.
MA76 Missing/incomplete/invalid provider identifier for home health agency or hospice when physician is performing care plan oversight services.
MA77 The patient overpaid you. You must issue the patient a refund within 30 days for the difference between the patient’s payment less the total of our and other payer payments and the amount shown as patient responsibility on this notice.
MA79 Billed in excess of interim rate.
MA80 Informational notice. No payment issued for this claim with this notice. Payment issued to the hospital by its intermediary for all services for this encounter under a demonstration project.
MA81 Missing/incomplete/invalid provider/supplier signature.
MA83 Did not indicate whether we are the primary or secondary payer.
MA84 Patient identified as participating in the National Emphysema Treatment Trial but our records indicate that this patient is either not a participant, or has not yet been approved for this phase of the study. Contact Johns Hopkins University, the study coordinator, to resolve if there was a discrepancy.
MA88 Missing/incomplete/invalid insured's address and/or telephone number for the primary payer.
MA89 Missing/incomplete/invalid patient's relationship to the insured for the primary payer.
MA90 Missing/incomplete/invalid employment status code for the primary insured.
MA91 This determination is the result of the appeal you filed.
MA92 Missing plan information for other insurance.
MA93 Non-PIP (Periodic Interim Payment) claim.
MA94 Did not enter the statement “Attending physician not hospice employee” on the claim form to certify that the rendering physician is not an employee of the hospice.
MA96 Claim rejected. Coded as a Medicare Managed Care Demonstration but patient is not enrolled in a Medicare managed care plan.
MA97 Missing/incomplete/invalid Medicare Managed Care Demonstration contract number.
MA98 Claim Rejected. Does not contain the correct Medicare Managed Care Demonstration contract number for this beneficiary.
MA99 Missing/incomplete/invalid Medigap information.
MA100 Missing/incomplete/invalid date of current illness or symptoms
MA101 A Skilled Nursing Facility (SNF) is responsible for payment of outside providers who furnish these services/supplies to residents.
MA103 Hemophilia Add On.
MA106 PIP (Periodic Interim Payment) claim.
MA107 Paper claim contains more than three separate data items in field 19.
MA108 Paper claim contains more than one data item in field 23.
MA109 Claim processed in accordance with ambulatory surgical guidelines.
MA110 Missing/incomplete/invalid information on whether the diagnostic test(s) were performed by an outside entity or if no purchased tests are included on the claim.
MA111 Missing/incomplete/invalid purchase price of the test(s) and/or the performing laboratory's name and address.
MA112 Missing/incomplete/invalid group practice information.
MA113 Incomplete/invalid taxpayer identification number (TIN) submitted by you per the
Internal Revenue Service. Your claims cannot be processed without your correct TIN, and you may not bill the patient pending correction of your TIN. There are no appeal rights for unprocessable claims, but you may resubmit this claim after you have notified this office of your correct TIN.
MA114 Missing/incomplete/invalid information on where the services were furnished.
MA115 Missing/incomplete/invalid physical location (name and address, or PIN) where the service(s) were rendered in a Health Professional Shortage Area (HPSA).
MA116 Did not complete the statement "Homebound" on the claim to validate whether laboratory services were performed at home or in an institution.
MA117 This claim has been assessed a $1.00 user fee.
MA118 Coinsurance and/or deductible amounts apply to a claim for services or supplies furnished to a Medicare-eligible veteran through a facility of the Department of
Veterans Affairs. No Medicare payment issued.
MA119 Provider level adjustment for late claim filing applies to this claim.
MA120 Missing/incomplete/invalid CLIA certification number.
MA121 Missing/incomplete/invalid x-ray date.
MA122 Missing/incomplete/invalid initial treatment date.
MA123 Your center was not selected to participate in this study, therefore, we cannot pay for these services.
MA125 Per legislation governing this program, payment constitutes payment in full.
MA126 Pancreas transplant not covered unless kidney transplant performed.
MA128 Missing/incomplete/invalid FDA approval number.
MA130 Your claim contains incomplete and/or invalid information, and no appeal rights are afforded because the claim is unprocessable. Please submit a new claim with the complete/correct information.
MA131 Physician already paid for services in conjunction with this demonstration claim. You must have the physician withdraw that claim and refund the payment before we can process your claim.
MA132 Adjustment to the pre-demonstration rate.
MA133 Claim overlaps inpatient stay. Rebill only those services rendered outside the inpatient stay.
MA134 Missing/incomplete/invalid provider number of the facility where the patient resides.
N1 You may appeal this decision in writing within the required time limits following receipt of this notice by following the instructions included in your contract or plan benefit documents.
N2 This allowance has been made in accordance with the most appropriate course of treatment provision of the plan.
N3 Missing consent form.
N4 Missing/incomplete/invalid prior insurance carrier EOB.
N5 EOB received from previous payer. Claim not on file.
N6 Under FEHB law (U.S.C. 8904(b)), we cannot pay more for covered care than the amount Medicare would have allowed if the patient were enrolled in Medicare Part A and/or Medicare Part B.
N7 Processing of this claim/service has included consideration under Major Medical provisions.
N8 Crossover claim denied by previous payer and complete claim data not forwarded.
Resubmit this claim to this payer to provide adequate data for adjudication.
N9 Adjustment represents the estimated amount the primary payer may have paid.
N10 Claim/service adjusted based on the findings of a review organization/professional consult/manual adjudication/medical or dental advisor.
N11 Denial reversed because of medical review.
N12 Policy provides coverage supplemental to Medicare. As member does not appear to be enrolled in Medicare Part B, the member is responsible for payment of the portion of the charge that would have been covered by Medicare.
N13 Payment based on professional/technical component modifier(s).
N14 Payment based on a contractual amount or agreement, fee schedule, or maximum allowable amount.
N15 Services for a newborn must be billed separately.
N16 Family/member Out-of-Pocket maximum has been met. Payment based on a higher percentage.
N19 Procedure code incidental to primary procedure.
N20 Service not payable with other service rendered on the same date.
N21 Your line item has been separated into multiple lines to expedite handling.
N22 This procedure code was added/changed because it more accurately describes the services rendered.
N23 Patient liability may be affected due to coordination of benefits with other carriers and/or maximum benefit provisions.
N24 Missing/incomplete/invalid Electronic Funds Transfer (EFT) banking information.
N25 This Company has been contracted by your benefit plan to provide administrative claims payment services only. This company does not assume financial risk or obligation with respect to claims processed on behalf of your benefit plan.
N26 Missing itemized bill.
N27 Missing/incomplete/invalid treatment number.
N28 Consent form requirements not fulfilled.
N29 Missing documentation/orders/notes/summary/report/chart.
N30 Patient ineligible for this service.
N31 Missing/incomplete/invalid prescribing provider identifier.
N32 Claim must be submitted by the provider who rendered the service.
N33 No record of health checks prior to initiation of treatment.
N34 Incorrect claim form for this service.
N35 Program integrity/utilization review decision.
N36 Claim must meet primary payer’s processing requirements before we can consider payment.
N37 Missing/incomplete/invalid tooth number/letter.
N39 Procedure code is not compatible with tooth number/letter.
N40 Missing x-ray.
N42 No record of mental health assessment.
N43 Bed hold or leave days exceeded.
N45 Payment based on authorized amount.
N46 Missing/incomplete/invalid admission hour.
N47 Claim conflicts with another inpatient stay.
N48 Claim information does not agree with information received from other insurance carrier.
N49 Court ordered coverage information needs validation.
N50 Missing/incomplete/invalid discharge information.
N51 Electronic interchange agreement not on file for provider/submitter.
N52 Patient not enrolled in the billing provider's managed care plan on the date of service.
N53 Missing/incomplete/invalid point of pick-up address.
N54 Claim information is inconsistent with pre-certified/authorized services.
N55 Procedures for billing with group/referring/performing providers were not followed.
N56 Procedure code billed is not correct/valid for the services billed or the date of service billed.
N57 Missing/incomplete/invalid prescribing date.
N58 Missing/incomplete/invalid patient liability amount.
N59 Please refer to your provider manual for additional program and provider information.
N61 Rebill services on separate claims.
N62 Inpatient admission spans multiple rate periods. Resubmit separate claims.
N63 Rebill services on separate claim lines.
N64 The “from” and “to” dates must be different.
N65 Procedure code or procedure rate count cannot be determined, or was not on file, for the date of service/provider.
N67 Professional provider services not paid separately. Included in facility payment under a demonstration project. Apply to that facility for payment, or resubmit your claim if the facility notifies you the patient was excluded from this demonstration; or if you furnished these services in another location on the date of the patient’s admission or discharge from a demonstration hospital. If services were furnished in a facility not involved in the demonstration on the same date the patient was discharged from or admitted to a demonstration facility, you must report the provider ID number for the non-demonstration facility on the new claim.
N68 Prior payment being cancelled as we were subsequently notified this patient was covered by a demonstration project in this site of service. Professional services were included in the payment made to the facility. You must contact the facility for your payment. Prior payment made to you by the patient or another insurer for this claim must be refunded to the payer within 30 days.
N69 PPS (Prospective Payment System) code changed by claims processing system.
Insufficient visits or therapies.
N70 Home health consolidated billing and payment applies.
N71 Your unassigned claim for a drug or biological, clinical diagnostic laboratory services or ambulance service was processed as an assigned claim. You are required by law to accept assignment for these types of claims.
N72 PPS code changed by medical reviewers. Not supported by clinical records.
N74 Resubmit with multiple claims, each claim covering services provided in only one calendar month.
N75 Missing/incomplete/invalid tooth surface information.
N76 Missing/incomplete/invalid number of riders.
N77 Missing/incomplete/invalid designated provider number.
N78 The necessary components of the child and teen checkup (EPSDT) were not completed.
N79 Service billed is not compatible with patient location information.
N80 Missing/incomplete/invalid prenatal screening information.
N81 Procedure billed is not compatible with tooth surface code.
N82 Provider must accept insurance payment as payment in full when a third party payer contract specifies full reimbursement.
N83 No appeal rights. Adjudicative decision based on the provisions of a demonstration project.
N84 Further installment payments forthcoming.
N85 Final installment payment.
N86 A failed trial of pelvic muscle exercise training is required in order for biofeedback training for the treatment of urinary incontinence to be covered.
N87 Home use of biofeedback therapy is not covered.
N88 This payment is being made conditionally. An HHA episode of care notice has been filed for this patient. When a patient is treated under a HHA episode of care, consolidated billing requires that certain therapy services and supplies, such as this, be included in the HHA's payment. This payment will need to be recouped from you if we establish that the patient is concurrently receiving treatment under a HHA episode of care.
N89 Payment information for this claim has been forwarded to more than one other payer, but format limitations permit only one of the secondary payers to be identified in this remittance advice.
N90 Covered only when performed by the attending physician.
N91 Services not included in the appeal review.
N92 This facility is not certified for digital mammography.
N93 A separate claim must be submitted for each place of service. Services furnished at multiple sites may not be billed in the same claim.
N94 Claim/Service denied because a more specific taxonomy code is required for adjudication.
N95 This provider type/provider specialty may not bill this service.
N96 Patient must be refractory to conventional therapy (documented behavioral, pharmacologic and/or surgical corrective therapy) and be an appropriate surgical candidate such that implantation with anesthesia can occur.
N97 Patients with stress incontinence, urinary obstruction, and specific neurological diseases
which are associated with secondary manifestations of the above three indications are excluded.
N98 Patient must have had successful test stimulation in order to support subsequent implantation. Before a patient is eligible for permanent implantation, he/she must demonstrate a 50 percent or greater improvement through test stimulation. Improvement is measured through voiding diaries.
N99 Patient must be able to demonstrate adequate ability to record voiding diary data such that clinical results of the implant procedure can be properly evaluated.
N100 PPS (Prospect Payment System) code corrected during adjudication.
N102 This claim has been denied without reviewing the medical record because the requested records were not received or were not received timely.
N103 Social Security records indicate that this patient was a prisoner when the service was rendered. This payer does not cover items and services furnished to an individual while they are in State or local custody under a penal authority, unless under State or local law, the individual is personally liable for the cost of his or her health care while incarcerated and the State or local government pursues such debt in the same way and with the same vigor as any other debt.
N104 This claim/service is not payable under our claims jurisdiction area. You can identify the correct Medicare contractor to process this claim/service through the CMS website at www.cms.hhs.gov.
N105 This is a misdirected claim/service for an RRB beneficiary. Submit paper claims to the
RRB carrier: Palmetto GBA, P.O. Box 10066, Augusta, GA 30999. Call 866-749-4301 for RRB EDI information for electronic claims processing.
N106 Payment for services furnished to Skilled Nursing Facility (SNF) can only be made to the SNF. You must request payment from the SNF rather than the patient for this service.
N107 Services furnished to Skilled Nursing Facility (SNF) inpatients must be billed on the inpatient claim. They cannot be billed separately as outpatient services.
N108 Missing/incomplete/invalid upgrades information.
N109 This claim was chosen for complex review and was denied after reviewing the medical records.
N110 This facility is not certified for film mammography.
N111 No appeal right except duplicate claim/service issue. This service was included in a claim that has been previously billed and adjudicated.
N112 This claim is excluded from your electronic remittance advice.
N113 Only one initial visit is covered per physician, group practice or provider.
N114 During the transition to the Ambulance Fee Schedule, payment is based on the lesser of a blended amount calculated using a percentage of the reasonable charge/cost and fee schedule amounts, or the submitted charge for the service. You will be notified yearly what the percentages for the blended payment calculation will be.
N115 This decision was based on a local medical review policy (LMRP) or Local Coverage
Determination (LCD).An LMRP/LCD provides a guide to assist in determining whether a particular item or service is covered. A copy of this policy is available at http://www.cms.hhs.gov/mcd, or if you do not have web access, you may contact the contractor to request a copy of the LMRP/LCD.
N116 This payment is being made conditionally because the service was provided in the home, and it is possible that the patient is under a home health episode of care. When a patient is treated under a home health episode of care, consolidated billing requires that certain therapy services and supplies, such as this, be included in the home health agency’s payment. This payment will need to be recouped from you if we establish that the patient is concurrently receiving treatment under an HHA episode of care.
N117 This service is paid only once in a patient’s lifetime.
N118 This service is not paid if billed more than once every 28 days.
N119 This service is not paid if billed once every 28 days, and the patient has spent 5 or more consecutive days in any inpatient or Skilled /nursing Facility (SNF) within those 28 days.
N120 Payment is subject to home health prospective payment system partial episode payment adjustment. Patient was transferred/discharged/readmitted during payment episode.
N121 Medicare Part B does not pay for items or services provided by this type of practitioner for beneficiaries in a Medicare Part A covered Skilled Nursing Facility (SNF) stay.
N122 Add-on code cannot be billed by itself.
N123 This is a split service and represents a portion of the units from the originally submitted service.
N124 Payment has been denied for the/made only for a less extensive service/item because the information furnished does not substantiate the need for the (more extensive) service/item. The patient is liable for the charges for this service/item as you informed the patient in writing before the service/item was furnished that we would not pay for it, and the patient agreed to pay.
N125 Payment has been (denied for the/made only for a less extensive) service/item because the information furnished does not substantiate the need for the (more extensive) service/item. If you have collected any amount from the patient, you must refund that amount to the patient within 30 days of receiving this notice.
Note: (New Code 9/26/02, Modified 8/1/05. Also refer to N356)
N126 Social Security Records indicate that this individual has been deported. This payer does not cover items and services furnished to individuals who have been deported.
N127 This is a misdirected claim/service for a United Mine Workers of America (UMWA) beneficiary. Please submit claims to them.
N128 This amount represents the prior to coverage portion of the allowance.
N129 This amount represents the dollar amount not eligible due to the patient's age.
N130 Consult plan benefit documents for information about restrictions for this service.
N131 Total payments under multiple contracts cannot exceed the allowance for this service.
N132 Payments will cease for services rendered by this US Government debarred or excluded provider after the 30 day grace period as previously notified.
N133 Services for predetermination and services requesting payment are being processed separately.
N134 This represents your scheduled payment for this service. If treatment has been discontinued, please contact Customer Service.
N135 Record fees are the patient's responsibility and limited to the specified co-payment.
N137 The provider acting on the Member's behalf may file an appeal with the Payer. The provider, acting on the Member's behalf, may file a complaint with the State Insurance
Regulatory Authority without first filing an appeal, if the coverage decision involves an urgent condition for which care has not been rendered. The address may be obtained from the State Insurance Regulatory Authority.
N138 In the event you disagree with the Dental Advisor's opinion and have additional information relative to the case, you may submit radiographs to the Dental Advisor
Unit at the subscriber's dental insurance carrier for a second Independent Dental Advisor Review.
N139 Under the Code of Federal Regulations, Chapter 32, Section 199.13 a non-participating provider is not an appropriate appealing party. Therefore, if you disagree with the
Dental Advisor's opinion, you may appeal the determination if appointed in writing, by the beneficiary, to act as his/her representative. Should you be appointed as a representative, submit a copy of this letter, a signed statement explaining the matter, in which you disagree, and any radiographs and relevant information to the subscriber's Dental insurance carrier within 90 days from the date of this letter.
N140 You have not been designated as an authorized OCONUS provider therefore are not considered an appropriate appealing party. If the beneficiary has appointed you, in writing, to act as his/her representative and you disagree with the Dental Advisor's opinion, you may appeal by submitting a copy of this letter, a signed statement explaining the matter in which you disagree, and any relevant information to the subscriber's Dental insurance carrier within 90 days from the date of this letter.
N141 The patient was not residing in a long-term care facility during all or part of the service dates billed.
N142 The original claim was denied. Resubmit a new claim, not a replacement claim.
N143 The patient was not in a hospice program during all or part of the service dates billed.
N144 The rate changed during the dates of service billed.
N146 Missing screening document.
N147 Long term care case mix or per diem rate cannot be determined because the patient
ID number is missing, incomplete, or invalid on the assignment request.
N148 Missing/incomplete/invalid date of last menstrual period.
N149 Rebill all applicable services on a single claim.
N150 Missing/incomplete/invalid model number.
N151 Telephone contact services will not be paid until the face-to-face contact requirement has been met.
N152 Missing/incomplete/invalid replacement claim information.
N153 Missing/incomplete/invalid room and board rate.
N154 This payment was delayed for correction of provider's mailing address.
N155 Our records do not indicate that other insurance is on file. Please submit other insurance information for our records.
N156 The patient is responsible for the difference between the approved treatment and the elective treatment.
N157 Transportation to/from this destination is not covered.
N158 Transportation in a vehicle other than an ambulance is not covered.
N159 Payment denied/reduced because mileage is not covered when the patient is not in the ambulance.
N160 The patient must choose an option before a payment can be made for this procedure/ equipment/ supply/ service.
N161 This drug/service/supply is covered only when the associated service is covered.
N162 This is an alert. Although your claim was paid, you have billed for a test/specialty not included in your Laboratory Certification. Your failure to correct the laboratory certification information will result in a denial of payment in the near future.
N163 Medical record does not support code billed per the code definition.
N167 Charges exceed the post-transplant coverage limit.
N170 A new/revised/renewed certificate of medical necessity is needed.
N171 Payment for repair or replacement is not covered or has exceeded the purchase price.
N172 The patient is not liable for the denied/adjusted charge(s) for receiving any updated service/item.
N173 No qualifying hospital stay dates were provided for this episode of care.
N174 This is not a covered service/procedure/ equipment/bed, however patient liability is limited to amounts shown in the adjustments under group "PR".
N175 Missing Review Organization Approval.
N176 Services provided aboard a ship are covered only when the ship is of United States registry and is in United States waters. In addition, a doctor licensed to practice in the
United States must provide the service.
N177 We did not send this claim to patient’s other insurer. They have indicated no additional payment can be made.
N178 Missing pre-operative photos or visual field results.
N179 Additional information has been requested from the member. The charges will be reconsidered upon receipt of that information.
N180 This item or service does not meet the criteria for the category under which it was billed.
N181 Additional information has been requested from another provider involved in the care of this member. The charges will be reconsidered upon receipt of that information.
N182 This claim/service must be billed according to the schedule for this plan.
N183 This is a predetermination advisory message, when this service is submitted for payment additional documentation as specified in plan documents will be required to process benefits.
N184 Rebill technical and professional components separately.
N185 Do not resubmit this claim/service.
N186 Non-Availability Statement (NAS) required for this service. Contact the nearest Military
Treatment Facility (MTF) for assistance.
N187 You may request a review in writing within the required time limits following receipt of this notice by following the instructions included in your contract or plan benefit documents.
N188 The approved level of care does not match the procedure code submitted.
N189 This service has been paid as a one-time exception to the plan's benefit restrictions.
N190 Missing contract indicator.
N191 The provider must update insurance information directly with payer.
N192 Patient is a Medicaid/Qualified Medicare Beneficiary.
N193 Specific federal/state/local program may cover this service through another payer.
N194 Technical component not paid if provider does not own the equipment used.
N195 The technical component must be billed separately.
N196 Patient eligible to apply for other coverage which may be primary.
N197 The subscriber must update insurance information directly with payer.
N198 Rendering provider must be affiliated with the pay-to provider.
N199 Additional payment approved based on payer-initiated review/audit.
N200 The professional component must be billed separately.
N201 A mental health facility is responsible for payment of outside providers who furnish these services/supplies to residents.
N202 Additional information/explanation will be sent separately
N203 Missing/incomplete/invalid anesthesia time/units
N204 Services under review for possible pre-existing condition. Send medical records for prior 12 months
N205 Information provided was illegible
N206 The supporting documentation does not match the claim
N207 Missing/incomplete/invalid birth weight
N208 Missing/incomplete/invalid DRG code
N209 Missing/invalid/incomplete taxpayer identification number (TIN)
N210 You may appeal this decision
N211 You may not appeal this decision
N212 Charges processed under a Point of Service benefit
N213 Missing/incomplete/invalid facility/discrete unit DRG/DRG exempt status information
N214 Missing/incomplete/invalid history of the related initial surgical procedure(s)
N215 A payer providing supplemental or secondary coverage shall not require a claims determination for this service from a primary payer as a condition of making its own claims determination.
N216 Patient is not enrolled in this portion of our benefit package
N217 We pay only one site of service per provider per claim
N218 You must furnish and service this item for as long as the patient continues to need it.
We can pay for maintenance and/or servicing for the time period specified in the contract or coverage manual.
N219 Payment based on previous payers allowed amount.
N220 See the payer's web site or contact the payer's Customer Service department to obtain forms and instructions for filing a provider dispute.
N221 Missing Admitting History and Physical report.
N222 Incomplete/invalid Admitting History and Physical report.
N223 Missing documentation of benefit to the patient during initial treatment period.
N224 Incomplete/invalid documentation of benefit to the patient during initial treatment period.
N225 Incomplete/invalid documentation/orders/notes/summary/report/chart.
N226 Incomplete/invalid American Diabetes Association Certificate of Recognition.
N227 Incomplete/invalid Certificate of Medical Necessity.
N228 Incomplete/invalid consent form.
N229 Incomplete/invalid contract indicator.
N230 Incomplete/invalid indication of whether the patient owns the equipment that requires the part or supply.
N231 Incomplete/invalid invoice or statement certifying the actual cost of the lens, less discounts, and/or the type of intraocular lens used.
N232 Incomplete/invalid itemized bill.
N233 Incomplete/invalid operative report.
N234 Incomplete/invalid oxygen certification/re-certification.
N235 Incomplete/invalid pacemaker registration form.
N236 Incomplete/invalid pathology report.
N237 Incomplete/invalid patient medical record for this service.
N238 Incomplete/invalid physician certified plan of care
N239 Incomplete/invalid physician financial relationship form.
N240 Incomplete/invalid radiology report.
N241 Incomplete/invalid Review Organization Approval.
N242 Incomplete/invalid x-ray.
N243 Incomplete/invalid/not approved screening document.
N244 Incomplete/invalid pre-operative photos/visual field results.
N245 Incomplete/invalid plan information for other insurance
N246 State regulated patient payment limitations apply to this service.
N247 Missing/incomplete/invalid assistant surgeon taxonomy.
N248 Missing/incomplete/invalid assistant surgeon name.
N249 Missing/incomplete/invalid assistant surgeon primary identifier.
N250 Missing/incomplete/invalid assistant surgeon secondary identifier.
N251 Missing/incomplete/invalid attending provider taxonomy.
N252 Missing/incomplete/invalid attending provider name.
N253 Missing/incomplete/invalid attending provider primary identifier.
N254 Missing/incomplete/invalid attending provider secondary identifier.
N255 Missing/incomplete/invalid billing provider taxonomy.
N256 Missing/incomplete/invalid billing provider/supplier name.
N257 Missing/incomplete/invalid billing provider/supplier primary identifier.
N258 Missing/incomplete/invalid billing provider/supplier address.
N259 Missing/incomplete/invalid billing provider/supplier secondary identifier.
N260 Missing/incomplete/invalid billing provider/supplier contact information.
N261 Missing/incomplete/invalid operating provider name.
N262 Missing/incomplete/invalid operating provider primary identifier.
N264 Missing/incomplete/invalid ordering provider name.
N265 Missing/incomplete/invalid ordering provider primary identifier.
N266 Missing/incomplete/invalid ordering provider address.
N267 Missing/incomplete/invalid ordering provider secondary identifier.
N268 Missing/incomplete/invalid ordering provider contact information.
N269 Missing/incomplete/invalid other provider name.
N270 Missing/incomplete/invalid other provider primary identifier.
N271 Missing/incomplete/invalid other provider secondary identifier.
N272 Missing/incomplete/invalid other payer attending provider identifier.
N273 Missing/incomplete/invalid other payer operating provider identifier.
N274 Missing/incomplete/invalid other payer other provider identifier.
N275 Missing/incomplete/invalid other payer purchased service provider identifier.
N276 Missing/incomplete/invalid other payer referring provider identifier.
N277 Missing/incomplete/invalid other payer rendering provider identifier.
N278 Missing/incomplete/invalid other payer service facility provider identifier.
N279 Missing/incomplete/invalid pay-to provider name.
N280 Missing/incomplete/invalid pay-to provider primary identifier.
N281 Missing/incomplete/invalid pay-to provider address.
N282 Missing/incomplete/invalid pay-to provider secondary identifier.
N283 Missing/incomplete/invalid purchased service provider identifier.
N284 Missing/incomplete/invalid referring provider taxonomy.
N285 Missing/incomplete/invalid referring provider name.
N286 Missing/incomplete/invalid referring provider primary identifier.
N287 Missing/incomplete/invalid referring provider secondary identifier.
N288 Missing/incomplete/invalid rendering provider taxonomy.
N289 Missing/incomplete/invalid rendering provider name.
N290 Missing/incomplete/invalid rendering provider primary identifier.
N291 Missing/incomplete/invalid rending provider secondary identifier.
N292 Missing/incomplete/invalid service facility name.
N293 Missing/incomplete/invalid service facility primary identifier.
N294 Missing/incomplete/invalid service facility primary address.
N295 Missing/incomplete/invalid service facility secondary identifier.
N296 Missing/incomplete/invalid supervising provider name.
N297 Missing/incomplete/invalid supervising provider primary identifier.
N298 Missing/incomplete/invalid supervising provider secondary identifier.
N299 Missing/incomplete/invalid occurrence date(s).
N300 Missing/incomplete/invalid occurrence span date(s).
N301 Missing/incomplete/invalid procedure date(s).
N302 Missing/incomplete/invalid other procedure date(s).
N303 Missing/incomplete/invalid principal procedure date.
N304 Missing/incomplete/invalid dispensed date.
N305 Missing/incomplete/invalid accident date.
N306 Missing/incomplete/invalid acute manifestation date.
N307 Missing/incomplete/invalid adjudication or payment date.
N308 Missing/incomplete/invalid appliance placement date.
N309 Missing/incomplete/invalid assessment date.
N310 Missing/incomplete/invalid assumed or relinquished care date.
N311 Missing/incomplete/invalid authorized to return to work date.
N312 Missing/incomplete/invalid begins therapy date.
N313 Missing/incomplete/invalid certification revision date.
N314 Missing/incomplete/invalid diagnosis date.
N315 Missing/incomplete/invalid disability from date.
N316 Missing/incomplete/invalid disability to date.
N317 Missing/incomplete/invalid discharge hour.
N318 Missing/incomplete/invalid discharge or end of care date.
N319 Missing/incomplete/invalid hearing or vision prescription date.
N320 Missing/incomplete/invalid Home Health Certification Period.
N321 Missing/incomplete/invalid last admission period.
N322 Missing/incomplete/invalid last certification date.
N323 Missing/incomplete/invalid last contact date.
N324 Missing/incomplete/invalid last seen/visit date.
N325 Missing/incomplete/invalid last worked date.
N326 Missing/incomplete/invalided last x-ray date.
N327 Missing/incomplete/invalid other insured birth date.
N328 Missing/incomplete/invalid Oxygen Saturation Test date.
N329 Missing/incomplete/invalid patient birth date.
N330 Missing/incomplete/invalid patient death date.
N331 Missing/incomplete/invalid physician order date.
N332 Missing/incomplete/invalid prior hospital discharge date.
N333 Missing/incomplete/invalid prior placement date.
N334 Missing/incomplete/invalid re-evaluation date
N335 Missing/incomplete/invalid referral date.
N336 Missing/incomplete/invalid replacement date.
N337 Missing/incomplete/invalid secondary diagnosis date.
N338 Missing/incomplete/invalid shipped date.
N339 Missing/incomplete/invalid similar illness or symptom date.
N340 Missing/incomplete/invalid subscriber birth date.
N341 Missing/incomplete/invalid surgery date.
N342 Missing/incomplete/invalid test performed date.
N343 Missing/incomplete/invalid Transcutaneous Electrical Nerve Stimulator (TENS) trial start date.
N344 Missing/incomplete/invalid Transcutaneous Electrical Nerve Stimulator (TENS) trial end date.
N345 Date range not valid with units submitted.
N346 Missing/incomplete/invalid oral cavity designation code.
N347 Your claim for a referred or purchased service cannot be paid because payment has already been made for this same service to another provider by a payment contractor representing the payer.
N348 You chose that this service/supply/drug would be rendered /supplied and billed by a different practitioner/supplier.
N349 The administration method and drug must be reported to adjudicate this service.
N350 Missing/incomplete/invalid description of service for a Not Otherwise Classified (NOC) code or an unlisted procedure.
N351 Service date outside of the approved treatment plan service dates.
N352 There are no scheduled payments for this service. Submit a claim for each patient visit.
N353 Benefits have been estimated, when the actual services have been rendered, additional payment will be considered based on the submitted claim.
N356 This service is not covered when performed with, or subsequent to, non-covered services.
