How To Fix Remark Code M285 (RARC) | Common Reasons, Next Steps & How To Avoid It

Remark Code N63 means that services need to be rebilled on separate claim lines. This code is often used by healthcare providers and insurance companies to indicate the need for adjustments or rebilling of services on separate claim lines.

1. Description

Remark Code N63 indicates that services need to be rebilled on separate claim lines. The official description states: ‘Rebill services on separate claim lines.’ This remark code is typically used when multiple services or procedures were billed together on a single claim line, and they need to be separated for proper billing and reimbursement.

2. Common Reasons

1. Multiple services or procedures were billed together: This can occur when different services or procedures are performed during the same encounter, but they were not properly itemized on separate claim lines.
2. Incorrect coding or bundling: Sometimes, services that should be billed separately are mistakenly bundled together under a single code, leading to the need for rebilling on separate claim lines.
3. Incomplete or inaccurate documentation: Insufficient documentation can result in services being grouped together on a single claim line instead of being itemized separately.

3. Next Steps

1. Review the original claim: Carefully examine the original claim to identify the services or procedures that need to be rebilled on separate claim lines.
2. Separate the services: Create separate claim lines for each service or procedure that was incorrectly billed together.
3. Ensure accurate coding: Verify that each service or procedure is assigned the appropriate code to reflect its individual nature.
4. Submit the corrected claim: Once the services have been properly separated and coded, resubmit the corrected claim to the insurance company for processing.

4. How To Avoid It

1. Itemize services correctly: Ensure that each service or procedure is listed separately on the claim, following the appropriate coding guidelines.
2. Review coding and bundling rules: Stay updated on coding and bundling rules to avoid mistakenly grouping services that should be billed separately.
3. Provide complete and accurate documentation: Thorough documentation supports proper itemization of services and reduces the likelihood of services being bundled together.

5. Example Cases

1. Case 1: A claim for a consultation and a minor surgical procedure was submitted with both services listed on the same claim line. Remark Code N63 was applied, indicating the need to rebill the services on separate claim lines.
2. Case 2: A claim for laboratory tests included multiple tests that were billed together under a single code. Remark Code N63 was assigned, requiring the tests to be rebilled on separate claim lines.

Source: Remittance Advice Remark Codes