N7.. & N8.. Remittance Advice Code List
N700 Payment adjusted based on the Electronic Health Records (EHR) Incentive Program.
Start: 03/01/2014
N701 Payment adjusted based on the Value-based Payment Modifier.
Start: 03/01/2014
N702 Decision based on review of previously adjudicated claims or for claims in process for the same/similar type of services.
Start: 03/01/2014
N703 This service is incompatible with previously adjudicated claims or claims in process.
Start: 03/01/2014
N704 Alert: You may not appeal this decision but can resubmit this claim/service with corrected information if warranted.
Start: 03/01/2014 | Last Modified: 03/14/2014
Notes: (Modified 3/14/2014)
N705 Incomplete/invalid documentation.
Start: 03/01/2014
N706 Missing documentation.
Start: 03/01/2014
N707 Incomplete/invalid orders.
Start: 03/01/2014
N708 Missing orders.
Start: 03/01/2014
N709 Incomplete/invalid notes.
Start: 03/01/2014
N710 Missing notes.
Start: 03/01/2014
N711 Incomplete/invalid summary.
Start: 03/01/2014
N712 Missing summary.
Start: 03/01/2014
N713 Incomplete/invalid report.
Start: 03/01/2014
N714 Missing report.
Start: 03/01/2014
N715 Incomplete/invalid chart.
Start: 03/01/2014
N716 Missing chart.
Start: 03/01/2014
N717 Incomplete/Invalid documentation of face-to-face examination.
Start: 03/01/2014
N718 Missing documentation of face-to-face examination.
Start: 03/01/2014
N719 Penalty applied based on plan requirements not being met.
Start: 03/01/2014
N720 Alert: The patient overpaid you. You may need to issue the patient a refund for the difference between the patient’s payment and the amount shown as patient responsibility on this notice.
Start: 03/01/2014
N721 This service is only covered when performed as part of a clinical trial.
Start: 03/01/2014
N722 Patient must use Workers' Compensation Set-Aside (WCSA) funds to pay for the medical service or item.
Start: 03/01/2014
N723 Patient must use Liability set-aside (LSA) funds to pay for the medical service or item.
Start: 03/01/2014
N724 Patient must use No-Fault set-aside (NFSA) funds to pay for the medical service or item.
Start: 03/01/2014
N725 A liability insurer has reported having ongoing responsibility for medical services (ORM) for this diagnosis.
Start: 03/01/2014
N726 A conditional payment is not allowed.
Start: 03/01/2014
N727 A no-fault insurer has reported having ongoing responsibility for medical services (ORM) for this diagnosis.
Start: 03/01/2014
N728 A workers' compensation insurer has reported having ongoing responsibility for medical services (ORM) for this diagnosis.
Start: 03/01/2014
N729 Missing patient medical/dental record for this service.
Start: 11/01/2014
N730 Incomplete/invalid patient medical/dental record for this service.
Start: 11/01/2014
N731 Incomplete/Invalid mental health assessment.
Start: 11/01/2014
N732 Services performed at an unlicensed facility are not reimbursable.
Start: 11/01/2014
N733 Regulatory surcharges are paid directly to the state.
Start: 11/01/2014
N734 The patient is eligible for these medical services only when unable to work or perform normal activities due to an illness or injury.
Start: 11/01/2014
N735 Adjustment without review of medical/dental record because the requested records were not received or were not received timely.
Start: 03/01/2015 | Stop: 01/01/2016
N736 Incomplete/invalid Sleep Study Report.
Start: 03/01/2015
N737 Missing Sleep Study Report.
Start: 03/01/2015
N738 Incomplete/invalid Vein Study Report.
Start: 03/01/2015
N739 Missing Vein Study Report.
Start: 03/01/2015
N740 The member's Consumer Spending Account does not contain sufficient funds to cover the member's liability for this claim/service.
Start: 03/01/2015
N741 This is a site neutral payment.
Start: 03/01/2015
N742 Alert: This claim was processed based on one or more ICD-9 codes. The transition to ICD-10 is required by October 1, 2015, for health care providers, health plans, and clearinghouses. More information can be found at http://www.cms.gov/Medicare/Coding/ICD10/ProviderResources.html
Start: 03/01/2015 | Stop: 11/01/2016 | Last Modified: 11/01/2015
Notes: (Modified 11/1/2015)
N743 Adjusted because the services may be related to an employment accident.
Start: 03/01/2015
N744 Adjusted because the services may be related to an auto/other accident.
Start: 03/01/2015 | Last Modified: 03/01/2017
Notes: (Modified 3/1/2017)
N745 Missing Ambulance Report.
Start: 03/01/2015
N746 Incomplete/invalid Ambulance Report.
Start: 03/01/2015
N747 This is a misdirected claim/service. Submit the claim to the payer/plan where the patient resides.
Start: 03/01/2015
N748 Adjusted because the related hospital charges have not been received.
Start: 03/01/2015
N749 Missing Blood Gas Report.
Start: 03/01/2015
N750 Incomplete/invalid Blood Gas Report.
Start: 03/01/2015
N751 Adjusted because the patient is covered under a Medicare Part D plan.
Start: 03/01/2015 | Last Modified: 07/01/2017
Notes: (Modified 7/1/2017)
N752 Missing/incomplete/invalid HIPPS Treatment Authorization Code (TAC).
Start: 03/01/2015
N753 Missing/incomplete/invalid Attachment Control Number.
Start: 07/01/2015
N754 Missing/incomplete/invalid Referring Provider or Other Source Qualifier on the 1500 Claim Form.
Start: 07/01/2015
N755 Missing/incomplete/invalid ICD Indicator.
Start: 07/01/2015 | Last Modified: 03/01/2016
Notes: (Modified 3/1/2016)
N756 Missing/incomplete/invalid point of drop-off address.
Start: 07/01/2015
N757 Adjusted based on the Federal Indian Fees schedule (MLR).
Start: 07/01/2015
N758 Adjusted based on the prior authorization decision.
Start: 07/01/2015
N759 Payment adjusted based on the National Electrical Manufacturers Association (NEMA) Standard XR-29-2013.
Start: 07/01/2015
N760 This facility is not authorized to receive payment for the service(s).
Start: 11/01/2015
N761 This provider is not authorized to receive payment for the service(s).
Start: 11/01/2015
N762 This facility is not certified for Tomosynthesis (3-D) mammography.
Start: 11/01/2015
N763 The demonstration code is not appropriate for this claim; resubmit without a demonstration code.
Start: 11/01/2015
N764 Missing/incomplete/invalid Hematocrit (HCT) value.
Start: 03/01/2016
N765 This payer does not cover coinsurance assessed by a previous payer.
Start: 03/01/2016 | Last Modified: 03/01/2018
Notes: (Modified 3/1/2018)
N766 This payer does not cover co-payment assessed by a previous payer.
Start: 03/01/2016
N767 The Medicaid state requires provider to be enrolled in the member’s Medicaid state program prior to any claim benefits being processed.
Start: 03/01/2016
N768 Incomplete/invalid initial evaluation report.
Start: 03/01/2016
N769 A lateral diagnosis is required.
Start: 03/01/2016
N770 The adjustment request received from the provider has been processed. Your original claim has been adjusted based on the information received.
Start: 03/01/2016
N771 Alert: Under Federal law you cannot charge more than the limiting charge amount.
Start: 07/01/2016
N772 Alert: Rebill urgent/emergent and ancillary services separately.
Start: 07/01/2016
N773 Drug supplied not obtained from specialty vendor.
Start: 07/01/2016
N774 Alert: Refer to your Third Party Processor Agreement for specific information on fees associated with this payment type.
Start: 07/01/2016
N775 Payment adjusted based on x-ray radiograph on film.
Start: 11/01/2016
N776 This service is not a covered Telehealth service.
Start: 11/01/2016
N777 Missing Assignment of Benefits Indicator.
Start: 11/01/2016 | Last Modified: 03/01/2017
Notes: (Modified 3/1/2017)
N778 Missing Primary Care Physician Information.
Start: 11/01/2016
N779 Replacement/Void claims cannot be submitted until the original claim has finalized. Please resubmit once payment or denial is received.
Start: 11/01/2016
N780 Missing/incomplete/invalid end therapy date.
Start: 11/01/2016
N781 Alert: Patient is a Medicaid/ Qualified Medicare Beneficiary. Review your records for any wrongfully collected deductible. This amount may be billed to a subsequent payer.
Start: 11/01/2016 | Last Modified: 03/01/2018
Notes: (Modified 3/1/2018)
N782 Alert: Patient is a Medicaid/ Qualified Medicare Beneficiary. Review your records for any wrongfully collected coinsurance. This amount may be billed to a subsequent payer.
Start: 11/01/2016 | Last Modified: 03/01/2018
Notes: (Modified 3/1/2018)
N783 Alert: Patient is a Medicaid/ Qualified Medicare Beneficiary. Review your records for any wrongfully collected copayment. This amount may be billed to a subsequent payer.
Start: 11/01/2016 | Last Modified: 03/01/2018
Notes: (Modified 3/1/2018)
N784 Missing comprehensive procedure code.
Start: 11/01/2016
N785 Missing current radiology film/images.
Start: 11/01/2016
N786 Benefit limitation for the orthodontic active and/or retention phase of treatment.
Start: 11/01/2016
N787 Alert: Under 42 CFR 410.43, an eligible Partial Hospitalization Program (PHP) patient/beneficiary requires a minimum of 20 hours of PHP services per week, as evidenced in the plan of care. PHP services must be furnished in accordance with the plan of care.
Start: 03/01/2017
N788 Alert: The third-party administrator/review organization did not receive the required information.
Start: 03/01/2017 | Last Modified: 07/01/2018
Notes: (Modified 11/1/2017, 7/1/2018)
N789 Clinical Trial is not a covered benefit.
Start: 07/01/2017
N790 Provider/supplier not accredited for product/service.
Start: 07/01/2017
N791 Missing history & physical report.
Start: 07/01/2017
N792 Incomplete/invalid history & physical report.
Start: 07/01/2017
N793 Alert: CMS is changing from the Medicare Health Insurance Claim number (HICN) to the new Medicare Beneficiary Identifier (MBI). You can use either the HICN or MBI during the transition period. Visit www.cms.gov/newcard for important dates and information about this change.
Start: 07/01/2017 | Last Modified: 11/01/2017
Notes: (Modified 11/1/2017)
N794 Payment adjusted based on type of technology used.
Start: 07/01/2017
N795 Item must be resubmitted as a purchase.
Start: 11/01/2017
N796 Missing/incomplete/invalid Hemoglobin (Hb or Hgb) value.
Start: 11/01/2017
N797 Missing/incomplete/invalid date qualifier.
Start: 11/01/2017
N798 Submit a void request for the original claim and resubmit a new claim.
Start: 11/01/2017
N799 Submitted identifier must be an individual identifier, not group identifier.
Start: 11/01/2017 | Last Modified: 03/01/2018
Notes: (Modified 3/1/2018)
N800 Only one service date is allowed per claim.
Start: 03/01/2018
N801 Services performed in a Medicare participating or CAH facility under a self-insured tribal Group Health Plan, in accordance with Federal Regulation 42 CFR 136.
Start: 03/01/2018
N802 This claim/service is not payable under our service area. The claim must be filed to the Payer/Plan in whose service area the Rendering Physician is located.
Start: 03/01/2018
N803 Submission of the claim for the service rendered is the responsibility of the Contracted Medical Group or Hospital.
Start: 03/01/2018
N804 Alert: The claim/service was processed through the Outpatient Code Editor (OCE).
Start: 07/01/2018
N805 Alert: The claim/service was processed through the Correct Code Editor (CCE).
Start: 07/01/2018
N806 Payment is included in the Global transplant allowance.
Start: 07/01/2018
N807 Payment adjustment based on the Merit-based Incentive Payment System (MIPS).
Start: 07/01/2018
N808 Not covered for this provider type / provider specialty.
Start: 07/01/2018
N809 Alert: The fee schedule amount for this service was adjusted based on prior competitive bidding rates. For more information, contact your local contractor.
Start: 11/01/2018
N810 Alert: Due to federal, state or local disaster declaration, this claim has been processed at the in-network level of benefit. At the conclusion or expiration of the disaster declaration, network payment rules will be reinstated.
Start: 11/01/2018 | Last Modified: 03/01/2019
N811 Missing Federal Sequestration Reduction from Prior Payer.
Start: 11/01/2018
N812 The start service date through end service date cannot span greater than 18 months.
Start: 11/01/2018
N700 Payment adjusted based on the Electronic Health Records (EHR) Incentive Program.
Start: 03/01/2014
N701 Payment adjusted based on the Value-based Payment Modifier.
Start: 03/01/2014
N702 Decision based on review of previously adjudicated claims or for claims in process for the same/similar type of services.
Start: 03/01/2014
N703 This service is incompatible with previously adjudicated claims or claims in process.
Start: 03/01/2014
N704 Alert: You may not appeal this decision but can resubmit this claim/service with corrected information if warranted.
Start: 03/01/2014 | Last Modified: 03/14/2014
Notes: (Modified 3/14/2014)
N705 Incomplete/invalid documentation.
Start: 03/01/2014
N706 Missing documentation.
Start: 03/01/2014
N707 Incomplete/invalid orders.
Start: 03/01/2014
N708 Missing orders.
Start: 03/01/2014
N709 Incomplete/invalid notes.
Start: 03/01/2014
N710 Missing notes.
Start: 03/01/2014
N711 Incomplete/invalid summary.
Start: 03/01/2014
N712 Missing summary.
Start: 03/01/2014
N713 Incomplete/invalid report.
Start: 03/01/2014
N714 Missing report.
Start: 03/01/2014
N715 Incomplete/invalid chart.
Start: 03/01/2014
N716 Missing chart.
Start: 03/01/2014
N717 Incomplete/Invalid documentation of face-to-face examination.
Start: 03/01/2014
N718 Missing documentation of face-to-face examination.
Start: 03/01/2014
N719 Penalty applied based on plan requirements not being met.
Start: 03/01/2014
N720 Alert: The patient overpaid you. You may need to issue the patient a refund for the difference between the patient’s payment and the amount shown as patient responsibility on this notice.
Start: 03/01/2014
N721 This service is only covered when performed as part of a clinical trial.
Start: 03/01/2014
N722 Patient must use Workers' Compensation Set-Aside (WCSA) funds to pay for the medical service or item.
Start: 03/01/2014
N723 Patient must use Liability set-aside (LSA) funds to pay for the medical service or item.
Start: 03/01/2014
N724 Patient must use No-Fault set-aside (NFSA) funds to pay for the medical service or item.
Start: 03/01/2014
N725 A liability insurer has reported having ongoing responsibility for medical services (ORM) for this diagnosis.
Start: 03/01/2014
N726 A conditional payment is not allowed.
Start: 03/01/2014
N727 A no-fault insurer has reported having ongoing responsibility for medical services (ORM) for this diagnosis.
Start: 03/01/2014
N728 A workers' compensation insurer has reported having ongoing responsibility for medical services (ORM) for this diagnosis.
Start: 03/01/2014
N729 Missing patient medical/dental record for this service.
Start: 11/01/2014
N730 Incomplete/invalid patient medical/dental record for this service.
Start: 11/01/2014
N731 Incomplete/Invalid mental health assessment.
Start: 11/01/2014
N732 Services performed at an unlicensed facility are not reimbursable.
Start: 11/01/2014
N733 Regulatory surcharges are paid directly to the state.
Start: 11/01/2014
N734 The patient is eligible for these medical services only when unable to work or perform normal activities due to an illness or injury.
Start: 11/01/2014
N735 Adjustment without review of medical/dental record because the requested records were not received or were not received timely.
Start: 03/01/2015 | Stop: 01/01/2016
N736 Incomplete/invalid Sleep Study Report.
Start: 03/01/2015
N737 Missing Sleep Study Report.
Start: 03/01/2015
N738 Incomplete/invalid Vein Study Report.
Start: 03/01/2015
N739 Missing Vein Study Report.
Start: 03/01/2015
N740 The member's Consumer Spending Account does not contain sufficient funds to cover the member's liability for this claim/service.
Start: 03/01/2015
N741 This is a site neutral payment.
Start: 03/01/2015
N742 Alert: This claim was processed based on one or more ICD-9 codes. The transition to ICD-10 is required by October 1, 2015, for health care providers, health plans, and clearinghouses. More information can be found at http://www.cms.gov/Medicare/Coding/ICD10/ProviderResources.html
Start: 03/01/2015 | Stop: 11/01/2016 | Last Modified: 11/01/2015
Notes: (Modified 11/1/2015)
N743 Adjusted because the services may be related to an employment accident.
Start: 03/01/2015
N744 Adjusted because the services may be related to an auto/other accident.
Start: 03/01/2015 | Last Modified: 03/01/2017
Notes: (Modified 3/1/2017)
N745 Missing Ambulance Report.
Start: 03/01/2015
N746 Incomplete/invalid Ambulance Report.
Start: 03/01/2015
N747 This is a misdirected claim/service. Submit the claim to the payer/plan where the patient resides.
Start: 03/01/2015
N748 Adjusted because the related hospital charges have not been received.
Start: 03/01/2015
N749 Missing Blood Gas Report.
Start: 03/01/2015
N750 Incomplete/invalid Blood Gas Report.
Start: 03/01/2015
N751 Adjusted because the patient is covered under a Medicare Part D plan.
Start: 03/01/2015 | Last Modified: 07/01/2017
Notes: (Modified 7/1/2017)
N752 Missing/incomplete/invalid HIPPS Treatment Authorization Code (TAC).
Start: 03/01/2015
N753 Missing/incomplete/invalid Attachment Control Number.
Start: 07/01/2015
N754 Missing/incomplete/invalid Referring Provider or Other Source Qualifier on the 1500 Claim Form.
Start: 07/01/2015
N755 Missing/incomplete/invalid ICD Indicator.
Start: 07/01/2015 | Last Modified: 03/01/2016
Notes: (Modified 3/1/2016)
N756 Missing/incomplete/invalid point of drop-off address.
Start: 07/01/2015
N757 Adjusted based on the Federal Indian Fees schedule (MLR).
Start: 07/01/2015
N758 Adjusted based on the prior authorization decision.
Start: 07/01/2015
N759 Payment adjusted based on the National Electrical Manufacturers Association (NEMA) Standard XR-29-2013.
Start: 07/01/2015
N760 This facility is not authorized to receive payment for the service(s).
Start: 11/01/2015
N761 This provider is not authorized to receive payment for the service(s).
Start: 11/01/2015
N762 This facility is not certified for Tomosynthesis (3-D) mammography.
Start: 11/01/2015
N763 The demonstration code is not appropriate for this claim; resubmit without a demonstration code.
Start: 11/01/2015
N764 Missing/incomplete/invalid Hematocrit (HCT) value.
Start: 03/01/2016
N765 This payer does not cover coinsurance assessed by a previous payer.
Start: 03/01/2016 | Last Modified: 03/01/2018
Notes: (Modified 3/1/2018)
N766 This payer does not cover co-payment assessed by a previous payer.
Start: 03/01/2016
N767 The Medicaid state requires provider to be enrolled in the member’s Medicaid state program prior to any claim benefits being processed.
Start: 03/01/2016
N768 Incomplete/invalid initial evaluation report.
Start: 03/01/2016
N769 A lateral diagnosis is required.
Start: 03/01/2016
N770 The adjustment request received from the provider has been processed. Your original claim has been adjusted based on the information received.
Start: 03/01/2016
N771 Alert: Under Federal law you cannot charge more than the limiting charge amount.
Start: 07/01/2016
N772 Alert: Rebill urgent/emergent and ancillary services separately.
Start: 07/01/2016
N773 Drug supplied not obtained from specialty vendor.
Start: 07/01/2016
N774 Alert: Refer to your Third Party Processor Agreement for specific information on fees associated with this payment type.
Start: 07/01/2016
N775 Payment adjusted based on x-ray radiograph on film.
Start: 11/01/2016
N776 This service is not a covered Telehealth service.
Start: 11/01/2016
N777 Missing Assignment of Benefits Indicator.
Start: 11/01/2016 | Last Modified: 03/01/2017
Notes: (Modified 3/1/2017)
N778 Missing Primary Care Physician Information.
Start: 11/01/2016
N779 Replacement/Void claims cannot be submitted until the original claim has finalized. Please resubmit once payment or denial is received.
Start: 11/01/2016
N780 Missing/incomplete/invalid end therapy date.
Start: 11/01/2016
N781 Alert: Patient is a Medicaid/ Qualified Medicare Beneficiary. Review your records for any wrongfully collected deductible. This amount may be billed to a subsequent payer.
Start: 11/01/2016 | Last Modified: 03/01/2018
Notes: (Modified 3/1/2018)
N782 Alert: Patient is a Medicaid/ Qualified Medicare Beneficiary. Review your records for any wrongfully collected coinsurance. This amount may be billed to a subsequent payer.
Start: 11/01/2016 | Last Modified: 03/01/2018
Notes: (Modified 3/1/2018)
N783 Alert: Patient is a Medicaid/ Qualified Medicare Beneficiary. Review your records for any wrongfully collected copayment. This amount may be billed to a subsequent payer.
Start: 11/01/2016 | Last Modified: 03/01/2018
Notes: (Modified 3/1/2018)
N784 Missing comprehensive procedure code.
Start: 11/01/2016
N785 Missing current radiology film/images.
Start: 11/01/2016
N786 Benefit limitation for the orthodontic active and/or retention phase of treatment.
Start: 11/01/2016
N787 Alert: Under 42 CFR 410.43, an eligible Partial Hospitalization Program (PHP) patient/beneficiary requires a minimum of 20 hours of PHP services per week, as evidenced in the plan of care. PHP services must be furnished in accordance with the plan of care.
Start: 03/01/2017
N788 Alert: The third-party administrator/review organization did not receive the required information.
Start: 03/01/2017 | Last Modified: 07/01/2018
Notes: (Modified 11/1/2017, 7/1/2018)
N789 Clinical Trial is not a covered benefit.
Start: 07/01/2017
N790 Provider/supplier not accredited for product/service.
Start: 07/01/2017
N791 Missing history & physical report.
Start: 07/01/2017
N792 Incomplete/invalid history & physical report.
Start: 07/01/2017
N793 Alert: CMS is changing from the Medicare Health Insurance Claim number (HICN) to the new Medicare Beneficiary Identifier (MBI). You can use either the HICN or MBI during the transition period. Visit www.cms.gov/newcard for important dates and information about this change.
Start: 07/01/2017 | Last Modified: 11/01/2017
Notes: (Modified 11/1/2017)
N794 Payment adjusted based on type of technology used.
Start: 07/01/2017
N795 Item must be resubmitted as a purchase.
Start: 11/01/2017
N796 Missing/incomplete/invalid Hemoglobin (Hb or Hgb) value.
Start: 11/01/2017
N797 Missing/incomplete/invalid date qualifier.
Start: 11/01/2017
N798 Submit a void request for the original claim and resubmit a new claim.
Start: 11/01/2017
N799 Submitted identifier must be an individual identifier, not group identifier.
Start: 11/01/2017 | Last Modified: 03/01/2018
Notes: (Modified 3/1/2018)
N800 Only one service date is allowed per claim.
Start: 03/01/2018
N801 Services performed in a Medicare participating or CAH facility under a self-insured tribal Group Health Plan, in accordance with Federal Regulation 42 CFR 136.
Start: 03/01/2018
N802 This claim/service is not payable under our service area. The claim must be filed to the Payer/Plan in whose service area the Rendering Physician is located.
Start: 03/01/2018
N803 Submission of the claim for the service rendered is the responsibility of the Contracted Medical Group or Hospital.
Start: 03/01/2018
N804 Alert: The claim/service was processed through the Outpatient Code Editor (OCE).
Start: 07/01/2018
N805 Alert: The claim/service was processed through the Correct Code Editor (CCE).
Start: 07/01/2018
N806 Payment is included in the Global transplant allowance.
Start: 07/01/2018
N807 Payment adjustment based on the Merit-based Incentive Payment System (MIPS).
Start: 07/01/2018
N808 Not covered for this provider type / provider specialty.
Start: 07/01/2018
N809 Alert: The fee schedule amount for this service was adjusted based on prior competitive bidding rates. For more information, contact your local contractor.
Start: 11/01/2018
N810 Alert: Due to federal, state or local disaster declaration, this claim has been processed at the in-network level of benefit. At the conclusion or expiration of the disaster declaration, network payment rules will be reinstated.
Start: 11/01/2018 | Last Modified: 03/01/2019
N811 Missing Federal Sequestration Reduction from Prior Payer.
Start: 11/01/2018
N812 The start service date through end service date cannot span greater than 18 months.
Start: 11/01/2018
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