N177Remark Code (RARC)ActiveInformational Alert
N177 Remark Code - No Additional Payment from Other Insurer
The N177 code indicates that the claim was not sent to the patient's other insurer, which has confirmed that no additional payment can be made. This remark serves as an alert to inform the provider about the status of the claim with respect to other insurance coverage.
What This Alert Tells You
As an informational alert, the N177 remark is not linked to any specific adjustment or denial. It is primarily used to communicate the payer's action regarding the coordination of benefits with another insurer.
Common Scenarios
1A provider submits a claim for a service rendered to a patient who has multiple insurance policies, but receives an 835 indicating the N177 code.
→ In this case, the N177 code signals that the payer did not forward the claim to the patient's other insurance, confirming that no further payment will be issued from that source.
2A patient with secondary insurance receives treatment and the provider submits a claim, later seeing the N177 remark on their remittance advice.
→ This remark indicates that the primary payer did not refer the claim to the secondary insurer, meaning the provider should not expect any additional payment from that source.
3A facility bills for a surgical procedure and receives an N177 alert on the remittance advice after the claim has been processed.
→ The N177 remark informs the facility that the claim was not sent to the patient's other insurer, and no further payment can be anticipated from them.
What to Do
- Do not resubmit the claim based on this alert alone, as it does not indicate any denial or required action.
- Understand that the payer has confirmed no additional payment will be made by the patient's other insurer.
What to Check
- Review the patient's insurance policy details to confirm the existence of other coverage.
- Check the claim submission records to verify if the claim was sent to the other insurer as required by coordination of benefits rules.
- Look at the remittance advice for any additional remarks or codes that may provide further context about the claim's processing.