835 Denial Combination

CO-16+N286

CO

Contractual Obligation · Service-Line Level Adjustment

What This Combination Means

Missing or incomplete ordering/prescribing provider NPI — required for certain procedures and DMEPOS claims.

93%

Appeal Success

3-7 days

Avg. Resolution

Easy

Difficulty

Yes

Appealable

Step-by-Step Resolution

Steps tailored specifically to this CO-16+N286 combination — not generic advice.

  1. 1

    Locate the ordering physician's NPI using the NPPES lookup tool.

  2. 2

    Add the ordering provider information to the appropriate claim field.

  3. 3

    Resubmit as a corrected claim.

Specialty Context

How CO-16+N286 typically presents across different practice types.

Dental

Verify missing or incomplete ordering/prescribing provider npi — required for certain procedures and dmepos claims per your dental plan contract and documentation requirements.

Medical

Confirm missing or incomplete ordering/prescribing provider npi — required for certain procedures and dmepos claims against payer policy and submit corrected claim as needed.

Behavioral Health

Apply behavioral health parity rules and confirm missing or incomplete ordering/prescribing provider npi — required for certain procedures and dmepos claims per MHPAEA standards.

Individual Code References

View the standalone definition for each code in this combination.

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