How To Fix Remark Code M536 (RARC) | Common Reasons, Next Steps & How To Avoid It

Remark Code N327 means that there is missing, incomplete, or invalid information regarding the birth date of the other insured individual. This code is often used by healthcare providers and insurance companies to indicate the reason for denial or adjustment of a claim related to the birth date of the other insured.

1. Description

Remark Code N327 indicates that there is missing, incomplete, or invalid information regarding the birth date of the other insured individual. The official description states: ‘Missing/incomplete/invalid other insured birth date.’ This information is crucial for accurate processing of claims and ensuring proper coverage for the other insured.

2. Common Reasons

1. Missing birth date: The birth date of the other insured individual is not provided in the claim documentation, leading to the remark code N327.
2. Incomplete birth date: The birth date of the other insured individual is partially provided or contains errors, making it invalid for processing.
3. Invalid birth date: The birth date of the other insured individual provided in the claim documentation does not match the records or is outside the acceptable range.

3. Next Steps

1. Contact the healthcare provider for the missing or incomplete birth date: Reach out to the healthcare provider to obtain the accurate birth date of the other insured individual.
2. Verify the birth date provided: Cross-check the birth date provided in the claim documentation with the available records to ensure accuracy.
3. Request updated documentation: If the birth date is found to be invalid or outside the acceptable range, request the healthcare provider to provide updated and accurate documentation.

4. How To Avoid It

1. Ensure complete and accurate birth date information: Collect all necessary information, including the birth date, of the other insured individual at the time of registration or during the claim submission process.
2. Verify the birth date before submitting the claim: Double-check the birth date provided in the claim documentation to ensure it is accurate and matches the available records.
3. Communicate with the other insured individual: If the birth date is not readily available, communicate with the other insured individual or their authorized representative to obtain the necessary information.

5. Example Cases

1. Case 1: A claim is denied due to a missing birth date of the other insured individual, emphasizing the importance of providing complete information for accurate claim processing.
2. Case 2: A claim adjustment occurs because the birth date of the other insured individual provided in the claim documentation does not match the records, highlighting the need for accurate and consistent information.

Source: Remittance Advice Remark Codes