Claims with Code J1050, CR -40731
April 22, 2014
Claims previously billed with J1050 for NDC codes 59762453802 and 00781932785 were denied because the NDC files do not contain those NDC codes. You can now bill for J1050 with these two codes for dates of services on or after 01/01/2013. Affected claims will be reprocessed and no provider action is needed.
You can identify these claims on your Remittance Advice (RA) by the following reason codes:
CARC - 16 - Claim/service lacks information which is needed for adjudication. At least one Remark Code must be provided (may be comprised of either the NCPDP Reject Reason Code, or Remittance Advice Remark Code that is not an ALERT.) Note: Refer to the 835 Healthcare Policy Identification Segment (loop 2110 Service Payment Information REF), if present.
RARC - M119 - Missing/incomplete/invalid/deactivated/withdrawn National Drug Code (NDC).
Please note: If you billed one unit, we are unable to reprocess your claims and you will need to rebill with the NDC code.
Please contact your Provider Relations Specialist with questions related to timely filing.