Remittance Advice Code N2 Series
N200 The professional component must be billed separately.
Start: 02/25/2003
N201 A mental health facility is responsible for payment of outside providers who furnish these services/supplies to residents.
Start: 02/25/2003 | Stop: 01/01/2011
Notes: Consider using N538
N202 Alert: Additional information/explanation will be sent separately.
Start: 06/30/2003 | Last Modified: 11/01/2015
Notes: (Modified 4/1/07, 11/1/09, 3/14/2014, 11/1/2015)
N203 Missing/incomplete/invalid anesthesia time/units.
Start: 06/30/2003 | Last Modified: 03/14/2014
Notes: (Modified 3/14/2014)
N204 Services under review for possible pre-existing condition. Send medical records for prior 12 months
Start: 06/30/2003
N205 Information provided was illegible.
Start: 06/30/2003 | Last Modified: 03/14/2014
Notes: (Modified 3/14/2014)
N206 The supporting documentation does not match the information sent on the claim.
Start: 06/30/2003 | Last Modified: 03/06/2012
Notes: (Modified 3/6/12)
N207 Missing/incomplete/invalid weight.
Start: 06/30/2003 | Last Modified: 11/18/2005
Notes: (Modified 11/18/05)
N208 Missing/incomplete/invalid DRG code.
Start: 06/30/2003 | Last Modified: 03/14/2014
Notes: (Modified 3/14/2014)
N209 Missing/incomplete/invalid taxpayer identification number (TIN).
Start: 06/30/2003 | Last Modified: 07/01/2008
Notes: (Modified 7/1/08)
N210 Alert: You may appeal this decision.
Start: 06/30/2003 | Last Modified: 03/14/2014
Notes: (Modified 4/1/07, 3/14/2014)
N211 Alert: You may not appeal this decision.
Start: 06/30/2003 | Last Modified: 03/14/2014
Notes: (Modified 4/1/07, 3/14/2014)
N212 Charges processed under a Point of Service benefit.
Start: 02/01/2004 | Last Modified: 03/14/2014
Notes: (Modified 3/14/2014)
N213 Missing/incomplete/invalid facility/discrete unit DRG/DRG exempt status information.
Start: 04/01/2004 | Last Modified: 03/14/2014
Notes: (Modified 3/14/2014)
N214 Missing/incomplete/invalid history of the related initial surgical procedure(s).
Start: 04/01/2004 | Last Modified: 03/14/2014
Notes: (Modified 3/14/2014)
N215 Alert: A payer providing supplemental or secondary coverage shall not require a claims determination for this service from a primary payer as a condition of making its own claims determination.
Start: 04/01/2004 | Last Modified: 04/01/2007
Notes: (Modified 4/1/07)
N216 We do not offer coverage for this type of service or the patient is not enrolled in this portion of our benefit package.
Start: 04/01/2004 | Last Modified: 03/14/2014
Notes: (Modified 3/1/2010, 3/14/2014)
N217 We pay only one site of service per provider per claim.
Start: 08/01/2004 | Last Modified: 03/14/2014
Notes: (Modified 3/14/2014)
N218 You must furnish and service this item for as long as the patient continues to need it. We can pay for maintenance and/or servicing for the time period specified in the contract or coverage manual.
Start: 08/01/2004
N219 Payment based on previous payer's allowed amount.
Start: 08/01/2004
N220 Alert: See the payer's web site or contact the payer's Customer Service department to obtain forms and instructions for filing a provider dispute.
Start: 08/01/2004 | Last Modified: 04/01/2007
Notes: (Modified 4/1/07)
N221 Missing Admitting History and Physical report.
Start: 08/01/2004
N222 Incomplete/invalid Admitting History and Physical report.
Start: 08/01/2004
N223 Missing documentation of benefit to the patient during initial treatment period.
Start: 08/01/2004
N224 Incomplete/invalid documentation of benefit to the patient during initial treatment period.
Start: 08/01/2004
N225 Incomplete/invalid documentation/orders/notes/summary/report/chart.
Start: 08/01/2004 | Stop: 03/01/2016 | Last Modified: 03/01/2014
Notes: (Modified 8/1/05, 3/1/2014) Explicit RARCs have been approved, this non-specific RARC will be deactivated in March 2016.
N226 Incomplete/invalid American Diabetes Association Certificate of Recognition.
Start: 08/01/2004
N227 Incomplete/invalid Certificate of Medical Necessity.
Start: 08/01/2004
N228 Incomplete/invalid consent form.
Start: 08/01/2004
N229 Incomplete/invalid contract indicator.
Start: 08/01/2004
N230 Incomplete/invalid indication of whether the patient owns the equipment that requires the part or supply.
Start: 08/01/2004
N231 Incomplete/invalid invoice or statement certifying the actual cost of the lens, less discounts, and/or the type of intraocular lens used.
Start: 08/01/2004
N232 Incomplete/invalid itemized bill/statement.
Start: 08/01/2004 | Last Modified: 07/01/2008
Notes: (Modified 7/1/08)
N233 Incomplete/invalid operative note/report.
Start: 08/01/2004 | Last Modified: 07/01/2008
Notes: (Modified 7/1/08)
N234 Incomplete/invalid oxygen certification/re-certification.
Start: 08/01/2004
N235 Incomplete/invalid pacemaker registration form.
Start: 08/01/2004
N236 Incomplete/invalid pathology report.
Start: 08/01/2004
N237 Incomplete/invalid patient medical record for this service.
Start: 08/01/2004
N238 Incomplete/invalid physician certified plan of care.
Start: 08/01/2004 | Last Modified: 03/14/2014
Notes: (Modified 3/14/2014)
N239 Incomplete/invalid physician financial relationship form.
Start: 08/01/2004
N240 Incomplete/invalid radiology report.
Start: 08/01/2004
N241 Incomplete/invalid review organization approval.
Start: 08/01/2004 | Last Modified: 02/29/2008
Notes: (Modified 2/29/08)
N242 Incomplete/invalid radiology film(s)/image(s).
Start: 08/01/2004 | Last Modified: 07/01/2008
Notes: (Modified 7/1/08)
N243 Incomplete/invalid/not approved screening document.
Start: 08/01/2004
N244 Incomplete/Invalid pre-operative images/visual field results.
Start: 08/01/2004 | Last Modified: 11/01/2013
Notes: (Modified 11/1/2013)
N245 Incomplete/invalid plan information for other insurance.
Start: 08/01/2004 | Last Modified: 03/14/2014
Notes: (Modified 3/14/2014)
N246 State regulated patient payment limitations apply to this service.
Start: 12/02/2004
N247 Missing/incomplete/invalid assistant surgeon taxonomy.
Start: 12/02/2004
N248 Missing/incomplete/invalid assistant surgeon name.
Start: 12/02/2004
N249 Missing/incomplete/invalid assistant surgeon primary identifier.
Start: 12/02/2004
N250 Missing/incomplete/invalid assistant surgeon secondary identifier.
Start: 12/02/2004
N251 Missing/incomplete/invalid attending provider taxonomy.
Start: 12/02/2004
N252 Missing/incomplete/invalid attending provider name.
Start: 12/02/2004
N253 Missing/incomplete/invalid attending provider primary identifier.
Start: 12/02/2004
N254 Missing/incomplete/invalid attending provider secondary identifier.
Start: 12/02/2004
N255 Missing/incomplete/invalid billing provider taxonomy.
Start: 12/02/2004
N256 Missing/incomplete/invalid billing provider/supplier name.
Start: 12/02/2004
N257 Missing/incomplete/invalid billing provider/supplier primary identifier.
Start: 12/02/2004
N258 Missing/incomplete/invalid billing provider/supplier address.
Start: 12/02/2004
N259 Missing/incomplete/invalid billing provider/supplier secondary identifier.
Start: 12/02/2004
N260 Missing/incomplete/invalid billing provider/supplier contact information.
Start: 12/02/2004
N261 Missing/incomplete/invalid operating provider name.
Start: 12/02/2004
N262 Missing/incomplete/invalid operating provider primary identifier.
Start: 12/02/2004
N263 Missing/incomplete/invalid operating provider secondary identifier.
Start: 12/02/2004
N264 Missing/incomplete/invalid ordering provider name.
Start: 12/02/2004
N265 Missing/incomplete/invalid ordering provider primary identifier.
Start: 12/02/2004
N266 Missing/incomplete/invalid ordering provider address.
Start: 12/02/2004
N267 Missing/incomplete/invalid ordering provider secondary identifier.
Start: 12/02/2004
N268 Missing/incomplete/invalid ordering provider contact information.
Start: 12/02/2004
N269 Missing/incomplete/invalid other provider name.
Start: 12/02/2004
N270 Missing/incomplete/invalid other provider primary identifier.
Start: 12/02/2004
N271 Missing/incomplete/invalid other provider secondary identifier.
Start: 12/02/2004
N272 Missing/incomplete/invalid other payer attending provider identifier.
Start: 12/02/2004
N273 Missing/incomplete/invalid other payer operating provider identifier.
Start: 12/02/2004
N274 Missing/incomplete/invalid other payer other provider identifier.
Start: 12/02/2004
N275 Missing/incomplete/invalid other payer purchased service provider identifier.
Start: 12/02/2004
N276 Missing/incomplete/invalid other payer referring provider identifier.
Start: 12/02/2004
N277 Missing/incomplete/invalid other payer rendering provider identifier.
Start: 12/02/2004
N278 Missing/incomplete/invalid other payer service facility provider identifier.
Start: 12/02/2004
N279 Missing/incomplete/invalid pay-to provider name.
Start: 12/02/2004
N280 Missing/incomplete/invalid pay-to provider primary identifier.
Start: 12/02/2004
N281 Missing/incomplete/invalid pay-to provider address.
Start: 12/02/2004
N282 Missing/incomplete/invalid pay-to provider secondary identifier.
Start: 12/02/2004
N283 Missing/incomplete/invalid purchased service provider identifier.
Start: 12/02/2004
N284 Missing/incomplete/invalid referring provider taxonomy.
Start: 12/02/2004
N285 Missing/incomplete/invalid referring provider name.
Start: 12/02/2004
N286 Missing/incomplete/invalid referring provider primary identifier.
Start: 12/02/2004
N287 Missing/incomplete/invalid referring provider secondary identifier.
Start: 12/02/2004
N288 Missing/incomplete/invalid rendering provider taxonomy.
Start: 12/02/2004
N289 Missing/incomplete/invalid rendering provider name.
Start: 12/02/2004
N290 Missing/incomplete/invalid rendering provider primary identifier.
Start: 12/02/2004
N291 Missing/incomplete/invalid rendering provider secondary identifier.
Start: 12/02/2004 | Last Modified: 11/01/2010
N292 Missing/incomplete/invalid service facility name.
Start: 12/02/2004
N293 Missing/incomplete/invalid service facility primary identifier.
Start: 12/02/2004
N294 Missing/incomplete/invalid service facility primary address.
Start: 12/02/2004
N295 Missing/incomplete/invalid service facility secondary identifier.
Start: 12/02/2004
N296 Missing/incomplete/invalid supervising provider name.
Start: 12/02/2004
N297 Missing/incomplete/invalid supervising provider primary identifier.
Start: 12/02/2004
N298 Missing/incomplete/invalid supervising provider secondary identifier.
Start: 12/02/2004
N299 Missing/incomplete/invalid occurrence date(s).
Start: 12/02/2004
N200 The professional component must be billed separately.
Start: 02/25/2003
N201 A mental health facility is responsible for payment of outside providers who furnish these services/supplies to residents.
Start: 02/25/2003 | Stop: 01/01/2011
Notes: Consider using N538
N202 Alert: Additional information/explanation will be sent separately.
Start: 06/30/2003 | Last Modified: 11/01/2015
Notes: (Modified 4/1/07, 11/1/09, 3/14/2014, 11/1/2015)
N203 Missing/incomplete/invalid anesthesia time/units.
Start: 06/30/2003 | Last Modified: 03/14/2014
Notes: (Modified 3/14/2014)
N204 Services under review for possible pre-existing condition. Send medical records for prior 12 months
Start: 06/30/2003
N205 Information provided was illegible.
Start: 06/30/2003 | Last Modified: 03/14/2014
Notes: (Modified 3/14/2014)
N206 The supporting documentation does not match the information sent on the claim.
Start: 06/30/2003 | Last Modified: 03/06/2012
Notes: (Modified 3/6/12)
N207 Missing/incomplete/invalid weight.
Start: 06/30/2003 | Last Modified: 11/18/2005
Notes: (Modified 11/18/05)
N208 Missing/incomplete/invalid DRG code.
Start: 06/30/2003 | Last Modified: 03/14/2014
Notes: (Modified 3/14/2014)
N209 Missing/incomplete/invalid taxpayer identification number (TIN).
Start: 06/30/2003 | Last Modified: 07/01/2008
Notes: (Modified 7/1/08)
N210 Alert: You may appeal this decision.
Start: 06/30/2003 | Last Modified: 03/14/2014
Notes: (Modified 4/1/07, 3/14/2014)
N211 Alert: You may not appeal this decision.
Start: 06/30/2003 | Last Modified: 03/14/2014
Notes: (Modified 4/1/07, 3/14/2014)
N212 Charges processed under a Point of Service benefit.
Start: 02/01/2004 | Last Modified: 03/14/2014
Notes: (Modified 3/14/2014)
N213 Missing/incomplete/invalid facility/discrete unit DRG/DRG exempt status information.
Start: 04/01/2004 | Last Modified: 03/14/2014
Notes: (Modified 3/14/2014)
N214 Missing/incomplete/invalid history of the related initial surgical procedure(s).
Start: 04/01/2004 | Last Modified: 03/14/2014
Notes: (Modified 3/14/2014)
N215 Alert: A payer providing supplemental or secondary coverage shall not require a claims determination for this service from a primary payer as a condition of making its own claims determination.
Start: 04/01/2004 | Last Modified: 04/01/2007
Notes: (Modified 4/1/07)
N216 We do not offer coverage for this type of service or the patient is not enrolled in this portion of our benefit package.
Start: 04/01/2004 | Last Modified: 03/14/2014
Notes: (Modified 3/1/2010, 3/14/2014)
N217 We pay only one site of service per provider per claim.
Start: 08/01/2004 | Last Modified: 03/14/2014
Notes: (Modified 3/14/2014)
N218 You must furnish and service this item for as long as the patient continues to need it. We can pay for maintenance and/or servicing for the time period specified in the contract or coverage manual.
Start: 08/01/2004
N219 Payment based on previous payer's allowed amount.
Start: 08/01/2004
N220 Alert: See the payer's web site or contact the payer's Customer Service department to obtain forms and instructions for filing a provider dispute.
Start: 08/01/2004 | Last Modified: 04/01/2007
Notes: (Modified 4/1/07)
N221 Missing Admitting History and Physical report.
Start: 08/01/2004
N222 Incomplete/invalid Admitting History and Physical report.
Start: 08/01/2004
N223 Missing documentation of benefit to the patient during initial treatment period.
Start: 08/01/2004
N224 Incomplete/invalid documentation of benefit to the patient during initial treatment period.
Start: 08/01/2004
N225 Incomplete/invalid documentation/orders/notes/summary/report/chart.
Start: 08/01/2004 | Stop: 03/01/2016 | Last Modified: 03/01/2014
Notes: (Modified 8/1/05, 3/1/2014) Explicit RARCs have been approved, this non-specific RARC will be deactivated in March 2016.
N226 Incomplete/invalid American Diabetes Association Certificate of Recognition.
Start: 08/01/2004
N227 Incomplete/invalid Certificate of Medical Necessity.
Start: 08/01/2004
N228 Incomplete/invalid consent form.
Start: 08/01/2004
N229 Incomplete/invalid contract indicator.
Start: 08/01/2004
N230 Incomplete/invalid indication of whether the patient owns the equipment that requires the part or supply.
Start: 08/01/2004
N231 Incomplete/invalid invoice or statement certifying the actual cost of the lens, less discounts, and/or the type of intraocular lens used.
Start: 08/01/2004
N232 Incomplete/invalid itemized bill/statement.
Start: 08/01/2004 | Last Modified: 07/01/2008
Notes: (Modified 7/1/08)
N233 Incomplete/invalid operative note/report.
Start: 08/01/2004 | Last Modified: 07/01/2008
Notes: (Modified 7/1/08)
N234 Incomplete/invalid oxygen certification/re-certification.
Start: 08/01/2004
N235 Incomplete/invalid pacemaker registration form.
Start: 08/01/2004
N236 Incomplete/invalid pathology report.
Start: 08/01/2004
N237 Incomplete/invalid patient medical record for this service.
Start: 08/01/2004
N238 Incomplete/invalid physician certified plan of care.
Start: 08/01/2004 | Last Modified: 03/14/2014
Notes: (Modified 3/14/2014)
N239 Incomplete/invalid physician financial relationship form.
Start: 08/01/2004
N240 Incomplete/invalid radiology report.
Start: 08/01/2004
N241 Incomplete/invalid review organization approval.
Start: 08/01/2004 | Last Modified: 02/29/2008
Notes: (Modified 2/29/08)
N242 Incomplete/invalid radiology film(s)/image(s).
Start: 08/01/2004 | Last Modified: 07/01/2008
Notes: (Modified 7/1/08)
N243 Incomplete/invalid/not approved screening document.
Start: 08/01/2004
N244 Incomplete/Invalid pre-operative images/visual field results.
Start: 08/01/2004 | Last Modified: 11/01/2013
Notes: (Modified 11/1/2013)
N245 Incomplete/invalid plan information for other insurance.
Start: 08/01/2004 | Last Modified: 03/14/2014
Notes: (Modified 3/14/2014)
N246 State regulated patient payment limitations apply to this service.
Start: 12/02/2004
N247 Missing/incomplete/invalid assistant surgeon taxonomy.
Start: 12/02/2004
N248 Missing/incomplete/invalid assistant surgeon name.
Start: 12/02/2004
N249 Missing/incomplete/invalid assistant surgeon primary identifier.
Start: 12/02/2004
N250 Missing/incomplete/invalid assistant surgeon secondary identifier.
Start: 12/02/2004
N251 Missing/incomplete/invalid attending provider taxonomy.
Start: 12/02/2004
N252 Missing/incomplete/invalid attending provider name.
Start: 12/02/2004
N253 Missing/incomplete/invalid attending provider primary identifier.
Start: 12/02/2004
N254 Missing/incomplete/invalid attending provider secondary identifier.
Start: 12/02/2004
N255 Missing/incomplete/invalid billing provider taxonomy.
Start: 12/02/2004
N256 Missing/incomplete/invalid billing provider/supplier name.
Start: 12/02/2004
N257 Missing/incomplete/invalid billing provider/supplier primary identifier.
Start: 12/02/2004
N258 Missing/incomplete/invalid billing provider/supplier address.
Start: 12/02/2004
N259 Missing/incomplete/invalid billing provider/supplier secondary identifier.
Start: 12/02/2004
N260 Missing/incomplete/invalid billing provider/supplier contact information.
Start: 12/02/2004
N261 Missing/incomplete/invalid operating provider name.
Start: 12/02/2004
N262 Missing/incomplete/invalid operating provider primary identifier.
Start: 12/02/2004
N263 Missing/incomplete/invalid operating provider secondary identifier.
Start: 12/02/2004
N264 Missing/incomplete/invalid ordering provider name.
Start: 12/02/2004
N265 Missing/incomplete/invalid ordering provider primary identifier.
Start: 12/02/2004
N266 Missing/incomplete/invalid ordering provider address.
Start: 12/02/2004
N267 Missing/incomplete/invalid ordering provider secondary identifier.
Start: 12/02/2004
N268 Missing/incomplete/invalid ordering provider contact information.
Start: 12/02/2004
N269 Missing/incomplete/invalid other provider name.
Start: 12/02/2004
N270 Missing/incomplete/invalid other provider primary identifier.
Start: 12/02/2004
N271 Missing/incomplete/invalid other provider secondary identifier.
Start: 12/02/2004
N272 Missing/incomplete/invalid other payer attending provider identifier.
Start: 12/02/2004
N273 Missing/incomplete/invalid other payer operating provider identifier.
Start: 12/02/2004
N274 Missing/incomplete/invalid other payer other provider identifier.
Start: 12/02/2004
N275 Missing/incomplete/invalid other payer purchased service provider identifier.
Start: 12/02/2004
N276 Missing/incomplete/invalid other payer referring provider identifier.
Start: 12/02/2004
N277 Missing/incomplete/invalid other payer rendering provider identifier.
Start: 12/02/2004
N278 Missing/incomplete/invalid other payer service facility provider identifier.
Start: 12/02/2004
N279 Missing/incomplete/invalid pay-to provider name.
Start: 12/02/2004
N280 Missing/incomplete/invalid pay-to provider primary identifier.
Start: 12/02/2004
N281 Missing/incomplete/invalid pay-to provider address.
Start: 12/02/2004
N282 Missing/incomplete/invalid pay-to provider secondary identifier.
Start: 12/02/2004
N283 Missing/incomplete/invalid purchased service provider identifier.
Start: 12/02/2004
N284 Missing/incomplete/invalid referring provider taxonomy.
Start: 12/02/2004
N285 Missing/incomplete/invalid referring provider name.
Start: 12/02/2004
N286 Missing/incomplete/invalid referring provider primary identifier.
Start: 12/02/2004
N287 Missing/incomplete/invalid referring provider secondary identifier.
Start: 12/02/2004
N288 Missing/incomplete/invalid rendering provider taxonomy.
Start: 12/02/2004
N289 Missing/incomplete/invalid rendering provider name.
Start: 12/02/2004
N290 Missing/incomplete/invalid rendering provider primary identifier.
Start: 12/02/2004
N291 Missing/incomplete/invalid rendering provider secondary identifier.
Start: 12/02/2004 | Last Modified: 11/01/2010
N292 Missing/incomplete/invalid service facility name.
Start: 12/02/2004
N293 Missing/incomplete/invalid service facility primary identifier.
Start: 12/02/2004
N294 Missing/incomplete/invalid service facility primary address.
Start: 12/02/2004
N295 Missing/incomplete/invalid service facility secondary identifier.
Start: 12/02/2004
N296 Missing/incomplete/invalid supervising provider name.
Start: 12/02/2004
N297 Missing/incomplete/invalid supervising provider primary identifier.
Start: 12/02/2004
N298 Missing/incomplete/invalid supervising provider secondary identifier.
Start: 12/02/2004
N299 Missing/incomplete/invalid occurrence date(s).
Start: 12/02/2004
No comments:
Post a Comment