How To Fix Remark Code M714 (RARC) | Common Reasons, Next Steps & How To Avoid It
Remark Code N509 means that a current inquiry shows the member’s Consumer Spending Account contains sufficient funds to cover the member liability for this claim/service. This code is used to alert healthcare providers and insurance companies that the member’s account has enough funds to cover the expenses. However, the actual payment from the Consumer Spending Account will depend on the availability of funds and determination of eligible services at the time of payment processing.
1. Description
Remark Code N509 indicates that a current inquiry has shown that the member’s Consumer Spending Account contains sufficient funds to cover the member liability for this claim/service. The official description states: ‘Alert: A current inquiry shows the member’s Consumer Spending Account contains sufficient funds to cover the member liability for this claim/service. Actual payment from the Consumer Spending Account will depend on the availability of funds and determination of eligible services at the time of payment processing.’ This code serves as a notification to healthcare providers and insurance companies about the availability of funds in the member’s account.
2. Common Reasons
- Sufficient funds in the Consumer Spending Account: The most common reason for Remark Code N509 is that the member’s account has enough funds to cover the expenses associated with the claim or service.
3. Next Steps
- Verify the availability of funds: Healthcare providers should confirm the availability of funds in the member’s Consumer Spending Account before processing the payment.
- Determine eligible services: It is important to assess whether the services claimed are eligible for payment from the Consumer Spending Account.
- Process payment: Once the availability of funds and eligibility of services are confirmed, the payment can be processed from the Consumer Spending Account.
4. How To Avoid It
- Check account balance: Regularly review the member’s Consumer Spending Account balance to ensure there are sufficient funds to cover the expenses.
- Verify eligibility: Confirm that the services being provided are eligible for payment from the Consumer Spending Account.
- Communicate with the member: Keep the member informed about the status of their Consumer Spending Account and any potential limitations or restrictions.
5. Example Cases
- Case 1: A claim for a medical service is submitted, and Remark Code N509 is included to indicate that the member’s Consumer Spending Account has sufficient funds to cover the expenses. The payment is processed successfully from the account.
- Case 2: A healthcare provider contacts the insurance company to inquire about the availability of funds in the member’s Consumer Spending Account before providing a specific service. Remark Code N509 is used to inform the provider that there are enough funds to cover the service.
Source: Remittance Advice Remark Codes
