N133Remark Code (RARC)ActiveInformational Alert
N133 Remark Code - Services Processed Separately Alert
The N133 remark code indicates that the services for predetermination and those requesting payment are being processed separately. This serves as a notification to the biller that these two types of services will not be evaluated together, which may affect the timing and outcome of payment for the submitted claims.
What This Alert Tells You
As an informational alert, the N133 remark code typically appears on remittance advice and does not indicate any specific adjustment or denial. It is meant to clarify the processing status of claims related to predetermination versus claims requesting payment.
Common Scenarios
1A provider submits a claim for a surgical procedure while also requesting predetermination for related preoperative services. The remittance advice returns with the N133 remark code.
→ In this case, the N133 code is informing the biller that the surgical procedure claim and the predetermination request are being handled as separate processes, and the outcomes may differ.
2A patient receives a series of diagnostic tests and the provider files for payment while also seeking predetermination for a subsequent treatment plan. The remittance comes back with the N133 alert.
→ Here, the N133 remark indicates that the payment request for the diagnostic tests is processed independently of the predetermination request for the treatment plan, which may lead to staggered decisions.
3Claims are submitted for both a consultation and a related procedure, with predetermination requested for the procedure. The remittance advice includes the N133 remark code.
→ The N133 alert signifies that the consultation claim and the procedure's predetermination request are being managed separately, which may impact payment timelines.
What to Do
- Do not take any action based on the N133 remark code, as it is informational only.
- Continue to monitor the status of both the payment request and the predetermination request.
What to Check
- Review the details of the claims submitted for any predetermination requests.
- Check the remittance advice for any other remarks or codes related to payment status.
- Consult the payer's guidelines for any specifics on how predetermination affects payments.