16 (15)    ADJUSTMENT REASON (161.91)

• DESCRIPTION:   

  Claim/service lacks information which is needed for adjudication. Addi
  tional information is supplied using remittance advice remarks codes 
  whenever appropriate.
  

• DESCRIPTION:   

  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.)
  

• DESCRIPTION:   

  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.)
  

• DESCRIPTION:   

  Claim/service lacks information or has submission/billing error(s) which is needed for adjudication. Do not use this code for claims attachment(s)/other documentation. 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.
  

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.