N259Remark Code (RARC)Active
N259 Remark Code: Missing/Incomplete Provider Identifier
The N259 remark code indicates that the billing provider or supplier's secondary identifier is either missing, incomplete, or invalid. This remark supplements an adjustment already described by a Claim Adjustment Reason Code on the same remittance, providing additional detail about the reason for the adjustment.
How It Relates to the Denial
The N259 remark typically accompanies adjustment reason codes related to issues with provider identification. When seen together, these codes signal that the payer could not process the claim due to issues with the secondary identifier provided for the billing provider or supplier.
Common Scenarios
1A claim for a diagnostic test was submitted, but the payment was reduced due to a missing secondary identifier for the provider.
→ In this scenario, the N259 remark is indicating that the payer could not verify the billing provider's secondary identifier, leading to the adjustment on the claim.
2A physical therapy claim was denied with an adjustment reason code for incorrect provider information, and the remittance included the N259 remark.
→ Here, the N259 remark is clarifying that the issue lies specifically with the secondary identifier of the billing provider, which is necessary for proper claim processing.
3A hospital claim was submitted with a claim adjustment reason code indicating a payment reduction, and the N259 remark was included, pointing to an identification issue.
→ In this case, the N259 remark highlights that the hospital's secondary identifier was not properly provided, resulting in the claim adjustment.
What to Do
- Verify that the billing provider or supplier's secondary identifier is correctly listed on the claim.
- Correct any inaccuracies in the secondary identifier and resubmit the claim if necessary.
- Ensure that the secondary identifier matches the information on file with the payer.
What to Check
- The claim submission details to confirm the secondary identifier is included.
- The provider's enrollment records with the payer to ensure the secondary identifier is accurate.
- The remittance advice to see the associated adjustment reason code for further context.