What is a PR 16 denial code?
Asked by: Dr. Milton Yundt II | Last update: July 25, 2025Score: 4.7/5 (23 votes)
What does PR 16 mean?
PR-16- Claim/service lacks information which is needed for adjudication.
What does code 16 mean?
Code 16 means an implementation of the chain law which requires the use of chains or ATD's by all vehicles. Under this code, autotransports shall be restricted from travel unless able to use chains or ATD's. Sample 1.
What is the remit code for PR16?
Claims lacking any one of the elements will be denied with the PR16 and a remittance remark code of M124, which indicates the charge is denied because it is missing an indication of whether the patient owns the equipment that requires the part or supply.
What is the reason code 16 in EOB?
16 = $xx. xx; a common code letting providers know that the claim/service lacks information which is needed to process the claim. This denial code will always have a Remark Code providing further explanation of what is needed to completely process the claim.
3 Common Denial Codes in Medical Billing
What is denial PR 16?
Denial code 16 means that the claim or service is missing necessary information or contains errors related to submission or billing.
What is return code 16?
Severe Error (RC=16) The calling program invoked the service with invalid parameters or in an invalid mode.
What is a reject code 16?
Claims will deny with Reject Code 16 when a single pharmacy provider submits additional claim(s) using the same prescription number and/or fill number already used on a claim that paid within the past 365 days.
What is the reason for B16 denial?
Denial code B16 is used when a healthcare provider submits a claim for a new patient, but the patient's qualifications for being considered a new patient were not met. This means that the patient does not meet the criteria set by the payer or insurance company to be classified as a new patient.
What is the code for international transfer?
A SWIFT code, also called a SWIFT number, is used to identify banks and financial institutions worldwide. The term Business Identifier Code (BIC) is used interchangeably with SWIFT code and means the same thing.
What is error code 16?
To protect your PC, your antivirus software and firewall would block some apps and websites from accessing your computer or connecting to the network. This might be the reason why you encounter the error code 16: This request was blocked by the security rule.
Which code 16?
Which country code is 16? +16 is the country code used by countries and territories participating in the North American Numbering Plan, mainly the US, Canada and various countries and territories in the Caribbean, Atlantic and Pacific.
What is condition code 16?
16. A severe error occurred that erased the remainder of the command stream. This condition code results from one of the following: The program cannot open a system output data set. (For example, a SYSPRINT DD statement was missing.)
What does 16 PR mean?
16PR means Ply rating of tyre is 16 ( in older days cotton plies were used in tyre for providing the necessary strength, now they are replaced with nylon and polyester plies. 16PR means that the strength of all the plies used is equal to 16 cotton plies.)
What does PR code stand for?
A PR code is a production code given to each piece of equipment installed in your vehicle and is used by manufacturers including VW, Audi, Seat, and Skoda. PR Codes contain three characters comprising of letters and numbers. An example of a PR code is 1KY and it may refer to the vehicle's brakes.
What is the denial code P16?
What is Denial Code P16. Denial code P16 is specific to Workers' Compensation claims and it indicates that the medical provider is not authorized or certified to provide treatment to injured workers in the jurisdiction where the claim is being processed.
What does denial code PR 16 mean?
Reason Code: 16. Claim/service lacks information or has submission/billing error(s) which is needed for adjudication. Remark Codes: M76. Missing/incomplete/invalid diagnosis or condition.
How to solve co-16 denial?
This may occur when outdated or incorrect insurance information is used during the billing process. To resolve a CO 16 denial code, it is essential to identify the correct insurance carrier and resubmit the claim with accurate information.
How many years before a patient is considered a new patient?
Medicare has stated that a patient is a new patient if no face-to-face service was reported in the last three years.
What is denial reason B16?
Correct the diagnosis code(s) or bill the patient. CO-B16: Payment adjusted because the new patient qualifications were not met. Resubmit the claim with the established patient visit.
What is a code 16 on police scanner?
10-15 Prisoner in custody. 10-16 Pick up prisoner. 10-17 Request for gasoline.
What is R16 reject code?
R16 – Account Frozen/Entry Returned per OFAC Instruction: Access to the account has been restricted due to legal action or specific action undertaken by the RDFI, or the OFAC (The Office of Foreign Assets Control of the US Department of the Treasury) has instructed the Gateway or RDFI to return the Entry.
What is R16?
ACH return code R16 means that the account you're trying to collect from has been frozen because of the RDFI, or by some sort of legal action against the account holder. This may include, for example, a tax lien, identity theft, or a default on a legal settlement payment.
What is IRS income code 16?
The most common codes used by international students and scholars are: Code 16: Scholarship or fellowship grants. Code 19: Compensation for teaching or researching.
What is RC 16 in SAP?
Return code (16) indicates import is cancelled. 1. Import cancelled due to system down while importing.