N112Remark Code (RARC)Active
N112 Remark Code - Excluded from Electronic Remittance Advice
The N112 remark code indicates that the claim is excluded from the electronic remittance advice. This means that details about the claim will not be included in the ERA, which could impact how payment information is communicated to the provider.
How It Relates to the Denial
The N112 remark typically accompanies a Claim Adjustment Reason Code that explains the adjustment made to the claim. Together, they signal that while the adjustment is noted, the specific claim details will not be available in the electronic remittance advice.
Common Scenarios
1A provider submitted a claim for a surgical procedure, and the remittance advice included a Claim Adjustment Reason Code indicating a payment adjustment.
→ The presence of the N112 remark code suggests that although there is an adjustment, the provider will not receive further details about this claim in the electronic remittance advice.
2A facility billed for a series of diagnostic tests but received a remittance that included an adjustment reason code related to bundled services.
→ The N112 remark code indicates that while the adjustment is noted, specifics about this claim are excluded from the electronic remittance advice.
3A practice submitted a claim for a routine office visit and found an adjustment reason code on the remittance related to non-covered services.
→ The N112 remark code means that the practice won't have access to additional details about the claim in their electronic remittance advice, despite the adjustment reason being provided.
What to Do
- Do not expect detailed information about the claim in the electronic remittance advice due to the N112 remark.
- Review other documentation or communication from the payer for more details about the claim adjustment.
What to Check
- The accompanying Claim Adjustment Reason Code for context on the adjustment.
- Previous remittance advices to identify any patterns with excluded claims.
- Payer-specific guidelines or policies regarding exclusions from electronic remittance advice.