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Wiki J7195

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catharine

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Weve been trying to bill Medicare for chemo drug infusion and keep getting rejection errors of 16 - Claim/service lacks information or has submission/billing error(s) which is needed for adjudication. This is a clinic setting and not hospital facility.


J7195 Factor IX recombinant (Benefix) 5,000 IUnits NDC #58394063403

Does anyone else bill these infusion drugs and how?

Thanks for your help!:
 
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What is the remark on the denial? The CO-16 is only one part of why the claim was rejected. There should be more explanation listed on the EOB.
 
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