N314Remark Code (RARC)Active
N314 Remark Code - Diagnosis Date Issues Explained
The N314 remark code indicates that a diagnosis date is missing, incomplete, or invalid for the claim being processed. This remark supplements an adjustment already provided by a Claim Adjustment Reason Code, clarifying why the claim may have been reduced or denied due to issues with the diagnosis date.
How It Relates to the Denial
The N314 remark code typically accompanies reason codes related to incomplete or inaccurate claim information, signaling that the diagnosis date specifically needs attention. Together, they point to a need for corrected or additional information to support the claim's validity.
Common Scenarios
1A provider submitted a claim for a surgical procedure along with a diagnosis, but the remittance advises that the diagnosis date is missing.
→ In this case, the N314 remark code indicates that the claim cannot be processed correctly due to the absence of a diagnosis date, and the payer expects this information to be provided for reconsideration.
2A claim for a patient visit was denied because the diagnosis date listed was deemed invalid, prompting a review of the submitted information.
→ The N314 remark code here suggests that the claim was affected by an invalid diagnosis date, and correcting this date is necessary to proceed with the claim.
3An outpatient service claim was adjusted, and the remittance included N314, indicating a problem with the recorded diagnosis date.
→ This remark code signals that the diagnosis date must be reviewed and corrected to comply with the payer's requirements, impacting the claim's payment.
What to Do
- Verify the diagnosis date on the claim to ensure it is complete and accurate.
- If the date is missing, obtain the correct diagnosis date and submit a corrected claim.
- If the date is invalid, determine the correct date and resubmit the claim with the accurate information.
What to Check
- The original claim submission to confirm the diagnosis date provided.
- The patient's medical record to find the correct diagnosis date.
- The payer's guidelines to ensure compliance with their expectations for diagnosis date submissions.