N279Remark Code (RARC)Active
N279 Remark Code - Missing Pay-to Provider Name
The N279 remark code indicates that there is a missing, incomplete, or invalid pay-to provider name associated with the claim. This remark supplements an adjustment already noted by a Claim Adjustment Reason Code, providing further detail on the denial or adjustment reason.
How It Relates to the Denial
The N279 remark code typically accompanies adjustment reason codes related to provider information issues. This combination signals that the payer requires a valid pay-to provider name for proper processing of the claim.
Common Scenarios
1A claim was submitted for an outpatient procedure, but the payment was denied due to missing provider information. The remittance shows the N279 remark code alongside a reason code that indicates a payment adjustment.
→ In this scenario, the N279 remark code is highlighting that the pay-to provider name is not valid or is missing altogether, which is why the claim could not be processed correctly.
2A provider billed for a series of diagnostic tests, but the payment was reduced. On the remittance advice, the N279 code appears, suggesting issues with the provider details.
→ This remark points to the necessity of correcting or providing a complete pay-to provider name in order to resolve the payment issue indicated by the accompanying reason code.
3A facility submitted a claim for services rendered, but the payment was partially denied. The remittance includes the N279 remark code, which indicates a problem with provider identification.
→ Here, the N279 remark is clarifying that the issue lies with the pay-to provider name, which must be reviewed and rectified to ensure appropriate payment.
What to Do
- Verify the pay-to provider name on the claim submission for accuracy and completeness.
- Correct any discrepancies found in the provider name and resubmit the claim if necessary.
- Ensure that the provider name matches the records on file with the payer.
What to Check
- The claim submission for the pay-to provider name field.
- The provider's enrollment documents with the payer.
- Any previous correspondence regarding provider information updates.