N312Remark Code (RARC)Active
N312 Remark Code - Missing Therapy Begin Date
The N312 remark code indicates that the claim has a missing, incomplete, or invalid begin therapy date. This remark is supplementary and clarifies the reason for an adjustment that has already been communicated through a Claim Adjustment Reason Code on the remittance advice.
How It Relates to the Denial
The N312 code typically accompanies adjustment reason codes related to service date issues or therapy-related claims. When seen together, it signals that the payer requires a valid therapy start date to process the claim correctly.
Common Scenarios
1A physical therapy claim was submitted for services rendered, but the remittance shows an adjustment with the N312 code.
→ This indicates that the payer could not process the claim due to the absence or invalidity of the begin therapy date, which is essential for therapy services.
2A claim for occupational therapy was denied, and the remittance included an adjustment reason code along with the N312 remark.
→ The claim is likely being held up because the required begin therapy date is either missing or incorrectly formatted, preventing further processing.
3A provider billed for a series of therapy sessions but received a remittance with an adjustment and the N312 remark code included.
→ This remark suggests that the payer is unable to validate the therapy dates, necessitating correction before resubmission.
What to Do
- Verify that the therapy begin date is accurately documented in the claim.
- If the date is missing, obtain the correct begin therapy date and resubmit the claim.
- Correct any errors in the format of the begin therapy date as per payer specifications.
What to Check
- Review the claim submission for the therapy begin date entry.
- Check the payer's requirements for documenting therapy dates.
- Examine the accompanying reason code for specifics on the adjustment applied.