N23Remark Code (RARC)ActiveInformational Alert
N23 Remark Code: Patient Liability Alert
The N23 remark code indicates that patient liability could change due to coordination of benefits with other insurance carriers or maximum benefit limits. It serves as a notification to payers and providers that additional factors may impact what the patient ultimately owes for their care.
What This Alert Tells You
As an alert remark, N23 is informational and does not accompany any specific adjustment or denial reason code. It is meant to raise awareness about potential changes in patient responsibility, rather than indicating a specific billing issue that needs resolution.
Common Scenarios
1A claim for a surgical procedure has been processed, and the remittance advice includes the N23 remark code.
→ This indicates that the patient's financial responsibility may vary based on coordination with other insurance plans that the patient may have.
2A patient has multiple insurance policies, and after processing the claim, the remittance shows the N23 alert code.
→ This alert informs the provider that the patient’s liability might be affected due to the interplay between the different insurance plans.
3A claim for a physical therapy session is submitted, and the N23 remark appears on the remittance advice received from the primary insurer.
→ The N23 alert suggests that the patient's liability could change depending on additional benefits available from other insurers or maximum benefit thresholds.
What to Do
- Do not take any specific actions based on this alert; it is for informational purposes only.
- Monitor future remittances for any changes in patient liability that may arise from coordination of benefits.
What to Check
- Review the patient's insurance coverage to understand any other carriers involved.
- Check the maximum benefit provisions of the patient's insurance plans to anticipate potential liabilities.
- Consult the patient's benefit documents for details on coordination of benefits.