What is denial code 216?

Asked by: Raul Zulauf  |  Last update: September 28, 2026
Score: 4.5/5 (6 votes)

Denial Code 216 (CARC 216) signifies that a claim adjustment is based on a payer's internal review, often reflecting payment from a primary insurance carrier, and is used when secondary claims need adjustment due to primary payment details, but doesn't always mean a financial loss for the provider, often appearing with RARC N199 (payer-initiated review/audit). It indicates an adjustment due to findings from a review, rather than a specific provider error like missing info.

What does denial code 216 mean?

Denial code 216 is issued when a review organization determines that the claim does not meet the necessary requirements for reimbursement.

What code is 216?

Area code 216 is the telephone area code in the North American Numbering Plan (NANP) for the city of Cleveland and most of its inner-ring suburbs in Cuyahoga County of the U.S. state of Ohio.

What is the medical code 216?

ICD-9 code 216 for Benign neoplasm of skin is a medical classification as listed by WHO under the range -BENIGN NEOPLASMS (210-229).

What is a 126 denial code?

The CO 126 denial code indicates that there is an issue with previously processed information on a healthcare claim. It suggests that some aspect of the claim's processing history contains errors or inconsistencies that need to be addressed.

3 Common Denial Codes in Medical Billing

17 related questions found

What is co 109 denial?

Denial code 109 means that the claim or service you submitted is not covered by the specific payer or contractor you sent it to. In order to resolve this, you will need to send the claim or service to the correct payer or contractor who does cover it.

Which +216?

Tunisia (country code +216)

What does 216 mean in police code?

216. Child abuse. 217. Assault with intent to murder.

Which country uses the 216 code?

Tunisia country code: +216

To call Tunisia simply dial your exit country code, the Tunisia country code and the area phone code shown below, all before your local number. Once you've made your call, remember; Rebtel use the highest quality, real phone lines with great value rates at the cheapest prices.

What does 216 mean?

Number 216 Meaning In Numerology

Number 216 includes all the vibrational energies of number 1, 2, 6 and 9, meaning that people who resonate strongly with this number are known to have a nurturing nature, and are loving. This shows up particularly in relationships, where they make loyal, trustworthy partners.

Who is calling from 216?

A call from 216 could be from Cleveland, Ohio, as it's the area code for the city and its inner suburbs, but it's also frequently associated with international scams, particularly from Tunisia (+216) or other regions using similar codes, often trying premium-rate hooks or "one-ring" tactics. You should be cautious, check the full number, and avoid calling back unknown international numbers, using apps like Truecaller or your carrier's tools to block suspicious calls. 

Where is the number 216 located?

The 216 area code is a telephone area code in the North American Numbering Plan (NANP) serving the metropolitan core of Cleveland, Ohio. This region forms the historic, cultural, and medical heart of Northeast Ohio, anchored by the city of Cleveland and its inner-ring suburbs in Cuyahoga County.

What are the top 10 denial codes in medical billing?

Top 10 Denials in Medical Billing

  • Missing or Incomplete Patient Information (CO 16) ...
  • Incorrect Patient Eligibility or Coverage (CO 109) ...
  • Duplicate Claims (CO 18) ...
  • Lack of Prior Authorization (CO 197) ...
  • Invalid or Unsupported Diagnosis Code (CO 167) ...
  • Invalid or Unsupported Procedure Code (CO 181) ...
  • Non-Covered Services (PR 96)

What does 261 mean in police code?

The crime of rape is covered under California Penal Code 261 PC and described as non-consensual sexual intercourse by means of force, threats, or fraud.

Is it ethical to listen to a scanner?

In many states including California, police scanners are allowed for personal and educational use as long as you follow all applicable rules. But using a police scanner to commit or aid in the commission of a crime is strictly prohibited and can be a criminal offense .

What is the code 216?

Tunisia Country Code 216 - Worldometer.

What are the factors of 216?

The factors of 216 are 1, 2, 3, 4, 6, 8, 9, 12, 18, 24, 27, 36, 54, 72, 108 and 216. Therefore, the common factor of 216 and 215 is 1.

Which of the following numbers is not perfect 216?

216 contain integers 2 and 3 which can be raised to the third power. Hence, 216 is a perfect cube. 128 contain integer 2 which cannot be raised to the third power due to the presence of one extra 2.

What does CO 22 denial mean?

Now, the CO 22 denial code specifically refers to a service that is deemed "not a covered benefit" under the patient's insurance plan. In other words, the insurance company has determined that the treatment or procedure is not eligible for reimbursement.

What is CO 246 denial code?

Non-payable reporting: Code 246 is typically used for required reporting purposes only. It indicates that the service or procedure performed is not eligible for reimbursement and is solely used for reporting purposes.

What does CO 96 denial mean?

Definition of CO-96 Denial Code

Denial code CO-96 is received when the insurance company believes there is a non-covered charge by the patents insurance plan on the bill. In simpler terms the insurance company thinks the charge is someone else's problem and is denying making any sort of payment.