N286Remark Code (RARC)Active
N286 Remark Code - Referring Provider Identifier Issue
The N286 remark code indicates that there is a missing, incomplete, or invalid primary identifier for the referring provider associated with the claim. This remark supplements an adjustment described by a Claim Adjustment Reason Code, clarifying the issue related to the referring provider's identifier.
How It Relates to the Denial
The N286 remark typically accompanies adjustment reason codes that relate to provider identification issues. The combination signals that the claim cannot be processed correctly due to problems with the referring provider's information.
Common Scenarios
1A claim for a specialist consultation is submitted, but the remittance advises an adjustment due to an invalid referring provider identifier.
→ The N286 remark suggests that the referring provider's primary identifier was either not provided, was provided incorrectly, or is incomplete, preventing proper processing of the claim.
2A claim for a diagnostic test is denied, and the remittance includes an adjustment reason code alongside the N286 remark.
→ In this case, the N286 indicates that the referring provider's identifier is not valid, which may be necessary for the claim to be reconsidered.
3A surgery claim is processed, but the payment is reduced, and the N286 remark appears on the remittance advice.
→ The N286 remark is highlighting that there is an issue with the referring provider's primary identifier, which is a required element for the claim's processing.
What to Do
- Verify the referring provider's primary identifier to ensure it is complete and accurate.
- Correct any inaccuracies in the referring provider's information on the claim submission.
- If needed, obtain the proper identifier from the referring provider's office and resubmit the claim.
What to Check
- The claim submission for the referring provider's identifier field.
- The provider's enrollment documents to confirm the correct identifier.
- The remittance advice for the associated Claim Adjustment Reason Code that accompanies the N286 remark.