835 Denial Combination

CO-16+N382

CO

Contractual Obligation · Claim-Level Adjustment

What This Combination Means

Missing or incomplete information — specifically, referring or ordering provider information is absent or invalid on the claim.

92%

Appeal Success

3-7 days

Avg. Resolution

Easy

Difficulty

Yes

Appealable

Step-by-Step Resolution

Steps tailored specifically to this CO-16+N382 combination — not generic advice.

  1. 1

    Locate the referring provider's NPI and name from the order or referral document.

  2. 2

    Add the referring provider information (Loop 2310F on 837P) to the claim.

  3. 3

    Resubmit as a corrected claim with the referring provider NPI populated.

Specialty Context

How CO-16+N382 typically presents across different practice types.

Dental

Verify missing or incomplete information — specifically, referring or ordering provider information is absent or invalid on the claim per your dental plan contract and documentation requirements.

Medical

Confirm missing or incomplete information — specifically, referring or ordering provider information is absent or invalid on the claim against payer policy and submit corrected claim as needed.

Behavioral Health

Apply behavioral health parity rules and confirm missing or incomplete information — specifically, referring or ordering provider information is absent or invalid on the claim per MHPAEA standards.

Individual Code References

View the standalone definition for each code in this combination.

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