Healthcare Error Code
Healthcare Insurance / Medical Billing
Common CMS / Medicare Issues
M196 | Claim error
Industry
Healthcare
Canonical
/healthcare/error-codes/m196/
Last Updated
Feb 25, 2026
Summary
This code indicates that an unspecified error affected claim processing.
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What This Code Means
M196 is a general code used when CMS identifies an error but does not specify the exact cause. It signals that the claim could not be processed as submitted. This code typically appears with other remarks that provide more detail. It does not independently determine coverage or payment. The error may be administrative or data-related.
Where Users Usually See This Code
- Medicare remittance advice
- Claim status reports
- Adjustment notices
Why This Code Appears
- Data validation errors
- Submission or formatting issues
- System processing checks triggered
What Typically Happens Next
- Claim is denied or adjusted
- Reprocessing may be required
- Payment is delayed
What This Code Is Not
- It is not a specific coverage denial
- It is not patient responsibility
- It is not a contractual adjustment
Troubleshooting Checklist
- □ Review accompanying error codes
- □ Confirm claim data accuracy
- □ Monitor resubmission rules
Notes And Edge Cases
General error codes often accompany more specific messages. Automated system checks commonly trigger this remark.
Related Codes
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