N142Remark Code (RARC)Active
N142 Remark Code - Original Claim Denied
The N142 remark code indicates that the original claim has been denied and instructs the biller to submit a new claim rather than a replacement claim. This means that the payer is not accepting the current claim as valid and requires a completely new submission to reconsider the service.
How It Relates to the Denial
The N142 code typically accompanies a claim adjustment reason code that indicates a denial, reinforcing the need for a new claim submission. This combination signals to the biller that the previous claim cannot be modified or corrected through a replacement process.
Common Scenarios
1A provider submitted a claim for a surgical procedure, but it was denied due to lack of prior authorization. The remittance shows the N142 remark code along with a reason code for denial.
→ In this case, the N142 remark code indicates that the initial claim has been denied and requires the provider to submit a new claim instead of trying to replace the original one.
2A claim for a lab test was denied because it was billed under the wrong provider number. The remittance includes the N142 remark code along with a denial reason code.
→ The appearance of the N142 remark code suggests that the payer expects a new claim submission rather than a corrected version of the original claim.
3A patient’s imaging study was denied for medical necessity. The remittance shows the N142 remark code accompanying a reason code that indicates a denial for lack of medical necessity.
→ The N142 remark code clarifies that the original claim is not valid and instructs the provider to submit a new claim for consideration.
What to Do
- Prepare a new claim with the correct details as needed, rather than a replacement claim.
- Ensure that any issues leading to the original denial are addressed before resubmitting.
What to Check
- Review the original claim submission for errors or missing information.
- Check the accompanying denial reason code to understand the basis for the denial.
- Consult the payer's policy regarding resubmissions to confirm procedures for new claims.