How To Fix Remark Code M506 (RARC) | Common Reasons, Next Steps & How To Avoid It

Remark Code N297 means that there is a missing, incomplete, or invalid supervising provider primary identifier. This code is used to indicate the reason for denial or adjustment of a claim related to the primary identifier of the supervising provider.

1. Description

Remark Code N297 indicates that there is an issue with the supervising provider’s primary identifier. The official description states: ‘Missing/incomplete/invalid supervising provider primary identifier.’ The primary identifier of the supervising provider is a crucial piece of information for accurate billing and claim processing. It is essential to ensure that this identifier is complete and valid to avoid claim denials or adjustments.

2. Common Reasons

1. Missing supervising provider primary identifier: This occurs when the primary identifier of the supervising provider is not provided in the claim or is accidentally omitted.
2. Incomplete supervising provider primary identifier: This happens when the primary identifier of the supervising provider is partially provided or contains incorrect information, such as missing digits or incorrect formatting.
3. Invalid supervising provider primary identifier: This occurs when the primary identifier of the supervising provider is not recognized or does not match the required format specified by the payer or regulatory guidelines.

3. Next Steps

1. Verify the supervising provider primary identifier: Review the claim and ensure that the primary identifier of the supervising provider is accurately entered and matches the required format.
2. Obtain the missing information: If the supervising provider primary identifier is missing, contact the healthcare provider or facility to obtain the necessary information and update the claim accordingly.
3. Correct any incomplete or invalid information: If the supervising provider primary identifier is incomplete or invalid, correct the information based on the payer’s guidelines or regulatory requirements.

4. How To Avoid It

1. Ensure accurate data entry: Double-check the primary identifier of the supervising provider during claim submission to avoid any missing, incomplete, or invalid information.
2. Follow payer guidelines: Familiarize yourself with the specific requirements and formatting guidelines for the supervising provider primary identifier set by the payer or regulatory authorities.
3. Regularly update provider information: Keep track of any changes in the supervising provider’s primary identifier and promptly update the information in your billing system to ensure accurate claims submission.

5. Example Cases

1. Case 1: A claim is denied because the supervising provider’s primary identifier is missing, highlighting the importance of accurately including this information in the claim.
2. Case 2: A claim adjustment occurs due to an invalid supervising provider primary identifier, emphasizing the need to ensure the identifier is valid and matches the required format.

Source: Remittance Advice Remark Codes