How To Fix Remark Code M520 (RARC) | Common Reasons, Next Steps & How To Avoid It

Remark Code N311 means that there is a missing, incomplete, or invalid authorized to return to work date. This code is used to indicate the reason for denial or adjustment of a claim related to an individual’s return to work after a medical leave or disability.

1. Description

Remark Code N311 indicates that there is a missing, incomplete, or invalid authorized to return to work date. The official description states: ‘Missing/incomplete/invalid authorized to return to work date.’ This code is typically used by healthcare providers and insurance companies to communicate the need for accurate and complete documentation regarding an individual’s return to work status.

2. Common Reasons

1. Missing authorized to return to work date: This may occur when the healthcare provider fails to provide the necessary information regarding the date when the individual is authorized to return to work.
2. Incomplete authorized to return to work date: In some cases, the authorized to return to work date may be partially provided, but lacks specific details or is not in the required format.
3. Invalid authorized to return to work date: An authorized to return to work date may be considered invalid if it falls outside the acceptable timeframe or if it is not supported by appropriate medical documentation.

3. Next Steps

1. Contact the healthcare provider for the missing or incomplete authorized to return to work date: It is important to reach out to the healthcare provider to obtain the necessary information and ensure accurate documentation.
2. Verify the validity of the authorized to return to work date: Review the medical records and documentation to confirm that the authorized to return to work date is within the acceptable timeframe and supported by appropriate medical evidence.
3. Update the claim with the correct authorized to return to work date: Once the missing or incorrect information has been obtained, update the claim with the accurate authorized to return to work date.

4. How To Avoid It

1. Ensure complete and accurate documentation: Healthcare providers should ensure that all necessary information, including the authorized to return to work date, is documented accurately and completely.
2. Follow the required format: It is important to adhere to the specified format for documenting the authorized to return to work date to avoid any issues or discrepancies.
3. Review and validate documentation: Prior to submitting a claim, healthcare providers should review and validate all documentation, including the authorized to return to work date, to ensure its accuracy and compliance with guidelines.

5. Example Cases

1. Case 1: A claim for disability benefits is denied because the authorized to return to work date is missing, highlighting the importance of providing complete documentation.
2. Case 2: A claim adjustment occurs due to an invalid authorized to return to work date that is not supported by appropriate medical evidence, emphasizing the need for accurate and well-documented information.

Source: Remittance Advice Remark Codes