How To Fix Remark Code M504 (RARC) | Common Reasons, Next Steps & How To Avoid It

Remark Code N295 means that there is a missing, incomplete, or invalid service facility secondary identifier. This code is used to indicate the reason for denial or adjustment of a claim related to the service facility secondary identifier.

1. Description

Remark Code N295 indicates that there is a missing, incomplete, or invalid service facility secondary identifier. The official description states: ‘Missing/incomplete/invalid service facility secondary identifier.’ The service facility secondary identifier is an important piece of information that helps identify the specific location where the service was provided. Its accuracy is crucial for proper claim processing and reimbursement.

2. Common Reasons

1. Missing service facility secondary identifier: This occurs when the required identifier is not provided in the claim submission. It could be an oversight or a lack of understanding of the necessary information.
2. Incomplete service facility secondary identifier: Incomplete identifiers may include missing digits, incorrect formatting, or incomplete information. This can lead to claim processing errors and delays.
3. Invalid service facility secondary identifier: An invalid identifier could be a result of using an outdated or incorrect code, or using a code that does not correspond to the specific service facility. This can cause claim rejections or denials.

3. Next Steps

1. Review the claim submission: Check the claim form to ensure that the service facility secondary identifier is included and accurately entered.
2. Verify the correct identifier: Consult the provider’s records or contact the service facility to obtain the correct identifier if it is missing or invalid.
3. Update the claim: If the identifier was incomplete or incorrect, make the necessary corrections and resubmit the claim for processing.

4. How To Avoid It

1. Ensure accurate documentation: Properly document the service facility secondary identifier in the patient’s records and ensure it is readily available for claim submission.
2. Double-check claim forms: Before submitting a claim, review the form to ensure that all required fields, including the service facility secondary identifier, are completed accurately.
3. Stay updated with coding changes: Regularly review coding guidelines and updates to ensure the use of current and valid service facility secondary identifiers.

5. Example Cases

1. Case 1: A claim is denied because the service facility secondary identifier is missing. The provider realizes the oversight and promptly updates the claim with the correct identifier, resulting in successful reimbursement.
2. Case 2: A claim is adjusted due to an invalid service facility secondary identifier. The provider contacts the service facility to obtain the correct identifier and resubmits the claim, leading to proper reimbursement.

Source: Remittance Advice Remark Codes