Last Modified: 11/9/2017 Location: FL, PR, USVI Business: Part B
Return unprocessable claim (RUC) reason code CO 140 FAQ
Q: We received a RUC for claim adjustment reason code (CARC) CO 140. What steps can we take to avoid this RUC code?
Patient/insured health identification number and name do not match
A: You received this RUC, because the patient name and Medicare number do not match the name and number on the patient’s Medicare card. To avoid this RUC in the future:
• Review and make a copy of Medicare card for the patient’s file.
• If you are a laboratory, radiology department or other entity where the patient was referred and/or the patient’s diagnostic test was sent, obtain a copy of the patient's Medicare card from the referring provider. Ensure your claim is submitted with the correct information as indicated on patient’s Medicare card.
• Verify patient’s Medicare eligibility. Click here for resources to check eligibility.
• Enter patient name on claim exactly as indicated on Medicare card.
• Include spaces and special characters if indicated on Medicare card. Exception: ABILITY | PC-ACE™ software does not currently accept special characters; enter space instead.
• Enter patient Medicare number exactly as indicated on Medicare card. Take a moment to verify number was keyed correctly.
To avoid delay in payment, submit a corrected claim. Claims that are returned as unprocessable cannot be appealed, as an initial determination was not made. For more information, click here.
Source(s): Refer to the Claim submission guidelines on the First Coast Medicare provider website. Centers for Medicare & Medicaid Services (CMS) guidelines for completion of form CMS-1500 in the Medicare Claims Processing Manual (100-04), Chapter 26
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Source: First Coast Education Action Team
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