EOB denial code M76: what it means

What it means

The diagnosis or condition on the claim is missing, incomplete, or not valid.

Official X12 description

“Missing/incomplete/invalid diagnosis or condition.”

Typical cause

A diagnosis coding error or omission on the claim.

What to do next

1. 1Ask your provider's billing office to add or correct the diagnosis and resubmit.
2. 2This is a billing correction handled by the provider, not usually a patient-owed amount.