How To Fix Remark Code M717 (RARC) | Common Reasons, Next Steps & How To Avoid It

Remark Code N512 means that this is the initial remit of a non-NCPDP claim that was originally submitted in real-time without any changes to the adjudication. This code serves as an alert to healthcare providers and insurance companies regarding the nature of the claim and its processing.

1. Description

Remark Code N512 indicates that this is the initial remit of a non-NCPDP claim that was originally submitted in real-time without any changes to the adjudication. The official description states: ‘Alert: This is the initial remit of a non-NCPDP claim originally submitted real-time without change to the adjudication.’ This code is used to notify stakeholders that the claim being processed is the first remittance for a non-NCPDP claim that was submitted without any modifications.

2. Common Reasons

1. Real-time claim submission: Remark Code N512 is commonly used when a claim is submitted in real-time without any changes made to the adjudication process. This may occur when a claim is submitted electronically and processed immediately without any manual intervention.
2. Non-NCPDP claim: This code is specifically applicable to non-NCPDP claims, which are claims that do not follow the National Council for Prescription Drug Programs (NCPDP) format. Non-NCPDP claims may include various types of healthcare services, such as medical procedures, laboratory tests, or durable medical equipment.

3. Next Steps

1. Review the initial remittance: Healthcare providers should carefully review the initial remittance to ensure that the claim was processed correctly and that all relevant information is included.
2. Verify the accuracy of the claim: It is important to verify that the claim submitted in real-time without any changes accurately reflects the services provided and the associated charges.
3. Address any discrepancies: If there are any discrepancies or errors in the initial remittance, healthcare providers should follow the appropriate procedures to rectify the situation, such as submitting a corrected claim or appealing the decision.

4. How To Avoid It

1. Ensure accurate claim submission: Healthcare providers should double-check the accuracy of the claim before submitting it in real-time to minimize the chances of encountering Remark Code N512.
2. Follow NCPDP guidelines: If possible, healthcare providers should adhere to the NCPDP format for claims submission to avoid encountering Remark Code N512, as this code is specific to non-NCPDP claims.

5. Example Cases

1. Case 1: A healthcare provider submits a non-NCPDP claim in real-time without any changes. The initial remittance includes Remark Code N512 to indicate that this is the first remittance for the claim.
2. Case 2: An insurance company processes a non-NCPDP claim submitted in real-time without any modifications. The initial remittance includes Remark Code N512 to alert the healthcare provider that this is the initial remittance for the claim.

Source: Remittance Advice Remark Codes