M56 remark code

Remittance advice remark code M56. Remark codes add detail to the reason code on the same claim line.

Missing or invalid payer identifier

Unofficial reference. This is our own plain-English explanation, not the official code text. Payer rules differ. Verify with the payer and the official X12 code list. AlphaPrefix is not affiliated with X12, CMS or any payer. Data last updated .

What M56 means

The identifier for a payer on the claim, often another payer in coordination of benefits, is missing or not valid.

The payer could not identify a payer named on the claim. This often concerns the other payer information in a secondary or crossover claim, where each payer needs a recognized identifier.

It usually comes with reason code 16. The fix is a corrected claim with the right payer identifier, not an appeal.

Common causes

What to do next

  1. Confirm the payer's current identifier with the clearinghouse payer list or the payer.
  2. Update the insurance setup for the patient in the billing system.
  3. Resubmit the corrected claim with the updated payer identifier.

Related codes

Source

Official wording: X12 Remittance Advice Remark Codes list. The explanation on this page is our own plain-English wording, not the X12 text.

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