N149Remark Code (RARC)Active
N149 Remark Code - Rebill All Services on One Claim
The N149 remark code instructs the biller to rebill all applicable services under a single claim instead of submitting them separately. This remark typically appears when multiple services have been billed but are deemed more appropriately submitted as one claim for payment processing.
How It Relates to the Denial
The N149 remark code usually accompanies a Claim Adjustment Reason Code indicating that services were billed incorrectly. The combination of this remark with a corresponding adjustment reason code signals that the payer expects all relevant services to be consolidated into a single claim submission.
Common Scenarios
1A provider submitted separate claims for a series of lab tests performed on the same day for a patient. The remittance returned with an adjustment reason code indicating separate submissions are not allowed.
→ The N149 remark indicates that the payer wants all lab tests to be combined and rebilled on one claim to streamline processing.
2A physical therapy provider billed for multiple sessions over a week, but each session was submitted as an individual claim. The remittance response included a claim adjustment reason code for billing errors.
→ The N149 remark implies that the payer is requesting that all therapy sessions be rebilled within a single claim to ensure proper adjudication.
3An outpatient clinic submitted individual claims for a series of diagnostic imaging services provided during one visit. The remittance included an adjustment reason code regarding billing format.
→ The N149 remark suggests that the clinic should rebill all imaging services on one claim to comply with the payer's billing requirements.
What to Do
- Consolidate all applicable services into a single claim submission as per the payer's instructions.
- Ensure that the claim accurately reflects the dates of service and the total charges for all services combined.
What to Check
- Review the original claims submitted to identify all services that should be included in the single claim.
- Refer to the payer's billing guidelines to confirm requirements for submitting multiple services on one claim.
- Examine the accompanying claim adjustment reason code for any additional context related to the adjustment.