How To Fix Remark Code M725 (RARC) | Common Reasons, Next Steps & How To Avoid It

Remark Code N522 means that the claim is a duplicate of a claim that has already been processed or is in the process of being processed as a crossover claim. This code is used to indicate that the claim has already been submitted and should not be processed again.

1. Description

Remark Code N522 indicates that the claim is a duplicate of a claim that has already been processed or is in the process of being processed as a crossover claim. The official description states: ‘Duplicate of a claim processed, or to be processed, as a crossover claim.’ This means that the claim has already been submitted and should not be processed again to avoid duplication and potential overpayment.

2. Common Reasons

1. Multiple submissions of the same claim: This can occur when there are errors or delays in the claim submission process, leading to duplicate claims being sent.
2. Processing delays: If there are delays in the processing of a claim, it is possible for the provider or the payer to submit the claim again, resulting in a duplicate claim.
3. System errors: Technical issues or system errors can sometimes cause duplicate claims to be generated and submitted.

3. Next Steps

1. Contact the payer: If you receive Remark Code N522, reach out to the payer to confirm the status of the claim and determine if any further action is required.
2. Review claim submission process: Evaluate your claim submission process to identify any potential errors or issues that may have led to the duplicate claim.
3. Implement measures to prevent duplicate claims: Put in place checks and balances to ensure that claims are not submitted multiple times, such as utilizing claim tracking systems or implementing claim submission protocols.

4. How To Avoid It

1. Establish clear communication channels: Maintain open lines of communication with the payer to stay informed about the status of claims and avoid unnecessary resubmissions.
2. Implement claim tracking systems: Utilize technology solutions that can help track the status of claims and prevent duplicate submissions.
3. Train staff on claim submission protocols: Ensure that your staff is well-trained on the proper procedures for claim submission to minimize errors and prevent duplicate claims.

5. Example Cases

1. Case 1: A provider submits a claim for a patient, but due to a system error, the claim is duplicated and processed twice, resulting in an overpayment.
2. Case 2: A claim is submitted as a crossover claim, but the provider mistakenly resubmits the same claim directly to the primary payer, resulting in a duplicate claim.

Source: Remittance Advice Remark Codes