N110Remark Code (RARC)Active
N110 Remark Code - Facility Not Certified for Mammography
The N110 remark code indicates that the facility where the service was provided is not certified for film mammography. This remark supplements an existing Claim Adjustment Reason Code, clarifying the reason for the denial or adjustment related to mammography services.
How It Relates to the Denial
The N110 remark typically accompanies reason codes that pertain to service denials for mammography procedures. This combination signals that the payer is denying the claim based on facility certification issues rather than patient eligibility or other factors.
Common Scenarios
1A facility submitted a claim for a film mammography service, but the remittance returned with a denial indicating the service was not covered.
→ The N110 remark suggests that the denial is due to the facility's lack of certification for providing film mammography services, and the payer expects claims for these services to be submitted only from certified facilities.
2A claim for a mammography exam performed at a non-certified facility was submitted, and the remittance included a reason code for denial along with the N110 remark.
→ With the N110 remark, it is clear that the service was denied because the facility is not certified for film mammography, providing additional context to the initial reason code.
3A billing office receives a remittance for a mammography procedure with a denial and the N110 remark attached, but the claim was submitted based on a patient's referral.
→ The N110 remark indicates that despite the referral, the claim cannot be paid due to the facility's non-certification for film mammography, emphasizing the importance of facility credentials.
What to Do
- Verify the facility's certification status for film mammography services.
- Consider resubmitting the claim with a different facility that is certified for the service if applicable.
- Review the patient's insurance policy to ensure that services are provided at certified locations.
What to Check
- The facility's certification documentation for film mammography.
- The claim submission details, ensuring the correct facility was billed.
- The payer's policy on facility requirements for mammography services.