Remark Code N881 means that the patient is responsible for the client obligation related to Home & Community Based Services (HCBS). This code is used to indicate that the patient has a financial responsibility for the services received. 1. Description Remark Code N881 indicates that the patient is responsible for the client obligation associated with…
Remark Code N866 means that the claim is subject to the No Surprises Act provisions that apply to services furnished by nonparticipating providers of air ambulance services. This code serves as an alert to healthcare providers and insurance companies regarding the specific regulations and requirements related to air ambulance services provided by nonparticipating providers. 1….
Remark Code N882 means that the out-of-network payment and cost sharing amounts were based on the plan’s allowance because the provider or facility obtained the patient’s consent to waive the balance billing protections under the No Surprises Act. This code serves as an alert to healthcare providers and insurance companies regarding the billing practices related…
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…
Remark Code N868 means that cost sharing was calculated based on an All-Payer Model Agreement, in accordance with the No Surprises Act. This code is used to alert healthcare providers and insurance companies that the cost sharing for a particular service or treatment was determined according to the guidelines set forth in the All-Payer Model…
Remark Code N884 means that the No Surprises Act may apply to the claim and the payer should be contacted for instructions on how to submit information regarding whether or not the item or service was furnished during a patient visit to a participating facility. This code is important for healthcare providers to understand as…
Remark Code N869 means that cost sharing was calculated based on the qualifying payment amount, following the guidelines of the No Surprises Act. This code serves as an alert to healthcare providers and insurance companies regarding the calculation of cost sharing for a specific claim. 1. Description Remark Code N869 indicates that cost sharing for…
Remark Code N885 means that the claim was not processed in accordance with the No Surprises Act cost-sharing or out-of-network payment requirements. This code is used when the payer disagrees with the determination that these requirements apply. It is important to understand the reasons behind this disagreement and to follow the appropriate appeals process to…
Remark Code N870 means that cost sharing was based on the billed amount because the billed amount was lower than the qualifying payment amount, in accordance with the No Surprises Act. This code is used to alert healthcare providers and insurance companies about the billing and payment process related to the No Surprises Act. 1….
