How To Fix Remark Code M479 (RARC) | Common Reasons, Next Steps & How To Avoid It

Remark Code N270 means that there is a missing, incomplete, or invalid other provider primary identifier. This code is used to indicate the reason for denial or adjustment of a claim related to the primary identifier of another healthcare provider.

1. Description

Remark Code N270 indicates that there is an issue with the other provider primary identifier. The official description states: ‘Missing/incomplete/invalid other provider primary identifier.’ This code is typically used when the primary identifier of another healthcare provider is either missing, incomplete, or invalid. The other provider primary identifier is an essential piece of information for accurate claim processing and reimbursement.

2. Common Reasons

1. Missing other provider primary identifier: This may occur when the primary identifier of another healthcare provider is not provided in the claim submission.
2. Incomplete other provider primary identifier: This can happen when the primary identifier of another healthcare provider is partially provided or contains incorrect information.
3. Invalid other provider primary identifier: This occurs when the primary identifier of another healthcare provider is provided, but it does not match the required format or is not recognized by the payer.

3. Next Steps

1. Verify the other provider primary identifier: Check the claim submission to ensure that the other provider primary identifier is included and accurately entered.
2. Obtain the correct other provider primary identifier: If the other provider primary identifier is missing or incomplete, contact the other healthcare provider to obtain the correct information.
3. Confirm the validity of the other provider primary identifier: If the other provider primary identifier is deemed invalid, verify the required format and ensure it is recognized by the payer.

4. How To Avoid It

1. Ensure the other provider primary identifier is included: Double-check that the other provider primary identifier is included in the claim submission.
2. Enter the other provider primary identifier accurately: Take care to enter the other provider primary identifier correctly, without any typographical errors or missing characters.
3. Verify the validity of the other provider primary identifier: Before submitting the claim, confirm that the other provider primary identifier follows the required format and is recognized by the payer.

5. Example Cases

1. Case 1: A claim is denied because the other provider primary identifier is missing, highlighting the importance of including this information for accurate claim processing.
2. Case 2: A claim adjustment occurs due to an invalid other provider primary identifier, emphasizing the need to ensure the validity of the identifier before submission.

Source: Remittance Advice Remark Codes