How To Fix Remark Code M343 (RARC) | Common Reasons, Next Steps & How To Avoid It
Remark Code N126 means that Social Security Records indicate that the individual has been deported. As a result, this payer does not cover items and services furnished to individuals who have been deported. This code is used to explain the reason for denial or adjustment of a claim related to individuals who have been deported.
1. Description
Remark Code N126 indicates that the individual has been deported according to Social Security Records. The official description states: ‘Social Security Records indicate that this individual has been deported. This payer does not cover items and services furnished to individuals who have been deported.’ This code is used to inform healthcare providers and insurance companies that coverage for items and services is not available for individuals who have been deported.
2. Common Reasons
- Individual has been deported: The most common reason for Remark Code N126 is that the individual has been officially deported according to Social Security Records.
3. Next Steps
- Verify the individual’s deportation status: It is important to confirm the individual’s deportation status by checking Social Security Records or other relevant documentation.
- Inform the individual about the coverage limitations: Communicate with the individual and explain that items and services will not be covered due to their deportation status.
- Explore alternative payment options: Discuss alternative payment options with the individual, such as self-payment or seeking coverage from other sources if applicable.
4. How To Avoid It
- Verify the immigration status of the individual: Before providing any items or services, verify the immigration status of the individual to ensure eligibility for coverage.
- Communicate with the individual: Clearly explain the coverage limitations and potential financial responsibilities associated with their deportation status.
- Explore other sources of coverage: Assist the individual in exploring other potential sources of coverage, such as government programs or charitable organizations.
5. Example Cases
- Case 1: A claim for medical services is denied because the individual’s Social Security Records indicate that they have been deported, highlighting the coverage limitations for individuals in this situation.
- Case 2: A claim adjustment occurs as the payer discovers that the individual has been deported, leading to the denial of coverage for the items and services provided.
Source: Remittance Advice Remark Codes
