The payer is telling you this particular decision carries no appeal rights.
Find out which, first
Check what it is attached to before accepting it. Attached to an unprocessable claim it is simply true, and the fix is a corrected claim. Attached to an actual adjudication it is worth challenging, because a processed claim normally does carry appeal rights.
N211 commonly rides alongside these. Our reading, not a published mapping: X12 publishes no adjustment-to-remark table.
| Code | What that one means |
|---|---|
| CO 16 | Something the payer needed was missing or wrong on the claim. |
Upload your denial export 4 columns. No patient data. One page back.