Common Billing Errors and Remittance Message

Remittance Remark Code Listing: X12

Message	Narrative
119	Benefit maximum for this time period or occurrence has been met.
18	Duplicate claim/service.
109	Claim not covered by this payer/contractor. You must send the claim to the correct payer/contractor.
B7	This provider was not certified/eligible to be paid for this procedure/service on this date of service. Note: Refer to the 835 REF Segment: Healthcare Policy Identification, if present.
29	The time limit for filing has expired.
97	The benefit for this service is included in the payment/allowance for another service/procedure that has already been adjudicated. Note: Refer to the 835 Healthcare Policy Identification Segment (loop 2110 Service Payment Information REF), if present.
22	This care may be covered by another payer per coordination of benefits.
50	This decision was based on a LCD. An LCD provides a guide to assist in determining whether a particular item or service is covered. A copy of this policy is available at www.cms.gov/mcd, or if you do not have web access, you may contact the contractor to request a copy of the LCD.
18	Exact duplicate claim/service
150	This service/equipment/drug is not covered under the patient’s current benefit plan.
119	Benefit maximum for this time period or occurrence has been reached.
31	Patient cannot be identified as our insured.
21	This illness/injury is the liability of the no-fault carrier.
22	This care may be covered by another payer per coordination of benefits.
16	Claim/service lacks information or has submission/billing error(s) which is needed for adjudication. Do not use this code for claims attachment(s). Note: Refer to the 835 Healthcare Policy Identification Segment (loop 2110 Service Payment Information REF), if present.
185	This provider type/provider specialty may not bill this service.

Reviewed 10/07/2024