This is the complete list of denial codes (Claim Adjustment Reason Codes) with an explanation of each denial. If you want to know how to fix a denial, click on the link which will lead to a post that explains how to address the denial code. The Claim Adjustment Reason Codes are copyright of X12…

Remark Code N886 means that a Health Care Claim Request for Additional Information (277 RFAI) has been sent. This code is used to alert healthcare providers and insurance companies that additional information is required to process a claim. It is important for providers to respond promptly and provide the requested information to avoid delays in…

Remark Code N887 means that providers who are not participating in the Medicare Advantage Plan have the right to appeal if the plan has partially or fully denied payment or if the provider believes the plan has not paid the services at the expected Medicare reimbursable rate or type of level/service. This code is important…

Remark Code N888 means that an electronic request for additional information has been sent for this claim. This code serves as an alert to healthcare providers and insurance companies that further documentation or clarification is needed to process the claim accurately. It is crucial to respond promptly to these requests to avoid delays in claim…

Remark Code N889 means that the claim was originally processed in real-time, and a real-time 835 response was sent. This code serves as an alert to healthcare providers and insurance companies, indicating that the claim has already been processed and responded to in real-time. 1. Description Remark Code N889 is an alert code that signifies…

Remark Code N890 means that the Electronic Visit Verification (EVV) data element requirements were not met. This code is used to indicate that the necessary information for electronic verification of a visit was not provided or did not meet the specified requirements. Healthcare providers and insurance companies utilize this code to explain the reason for…

Remark Code N891 means that the maximum allowable payment for a specific service or procedure has already been paid by the primary insurance. As a result, no further payment is due. This code is commonly used by healthcare providers and insurance companies to indicate that the claim has been fully processed and no additional reimbursement…

Remark Code N892 means that the claim does not meet the criteria for acceptable use of the Delay Reason Code. This code is used to indicate that the reason provided for the delay in claim processing does not meet the necessary requirements. Healthcare providers and insurance companies utilize this code to communicate the denial or…

Remark Code N867 means that cost sharing was calculated based on a specified state law, in accordance with the No Surprises Act. This code is used to alert healthcare providers and insurance companies about the calculation of cost sharing for a claim, ensuring compliance with state laws and regulations. 1. Description Remark Code N867 indicates…

Remark Code N883 means that the claim has been processed according to state law. This code is used to alert healthcare providers and insurance companies that the claim has been handled in compliance with the specific regulations and requirements set forth by the state. 1. Description Remark Code N883 indicates that the claim has been…