How To Fix Remark Code M902 (RARC) | Common Reasons, Next Steps & How To Avoid It

Remark Code N702 means that the decision regarding a claim is based on a review of previously adjudicated claims or for claims in process for the same or similar type of services. This code is used to indicate that the claim has been reviewed and a decision has been made based on the information available.

1. Description

Remark Code N702 indicates that the decision regarding a claim is based on a review of previously adjudicated claims or for claims in process for the same or similar type of services. The official description states: ‘Decision based on review of previously adjudicated claims or for claims in process for the same/similar type of services.’ This remark code is often used when a claim is being processed and the decision is influenced by the outcome of similar claims that have been previously reviewed.

2. Common Reasons

1. Claims with similar services: Remark code N702 may be applied when a claim is being processed and there are other claims with similar services that have already been reviewed. The decision on the current claim may be influenced by the outcomes of those previously adjudicated claims.
2. Review of previously adjudicated claims: This remark code may also be used when a claim is being reviewed based on the results of previously adjudicated claims. If there are patterns or trends identified in the previous claims, it may impact the decision on the current claim.
3. Claims in process: Remark code N702 can be applied when a claim is still in the process of being reviewed and there are other claims for the same or similar type of services that are also being reviewed. The decision on the current claim may be influenced by the progress and outcomes of those claims in process.

3. Next Steps

1. Review the decision: If remark code N702 is applied to a claim, it is important to review the decision and understand the factors that influenced it. This can help in determining the next steps to be taken.
2. Identify patterns or trends: If there are patterns or trends identified in the previously adjudicated claims or claims in process, it is important to analyze them and see how they may impact future claims.
3. Provide additional information: If there is any additional information that can support the claim and potentially change the decision, it should be provided to the relevant parties for review.

4. How To Avoid It

1. Ensure accurate and complete documentation: Providing accurate and complete documentation for each claim can help in avoiding remark code N702. This includes all relevant information and supporting documents.
2. Monitor and address patterns or trends: Regularly monitoring and addressing any patterns or trends identified in previously adjudicated claims or claims in process can help in avoiding similar issues in the future.
3. Stay updated with coding and billing guidelines: Keeping up-to-date with the latest coding and billing guidelines can help in ensuring that claims are submitted correctly and in compliance with the requirements.

5. Example Cases

1. Case 1: A claim for a specific type of service is denied based on the review of previously adjudicated claims that showed similar issues with documentation. The decision is influenced by the outcomes of those previous claims.
2. Case 2: A claim is put on hold for further review because there are other claims for the same type of service that are still in process. The decision on the current claim will be made based on the progress and outcomes of those claims in process.

Source: Remittance Advice Remark Codes