N324Remark Code (RARC)Active
N324 Remark Code: Missing/Invalid Last Seen Date
The N324 remark code indicates that the claim has a missing, incomplete, or invalid last seen or visit date. This remark supplements an adjustment already made by a Claim Adjustment Reason Code, providing clarity on the specific issue with the claim's date information.
How It Relates to the Denial
The N324 remark typically accompanies adjustment reason codes related to claim denials or reductions due to incomplete documentation. The combination signals that the payer requires the last seen or visit date to process the claim accurately.
Common Scenarios
1A provider submits a claim for a follow-up visit but omits the date of the last visit. The remittance shows a denial with an adjustment reason code indicating insufficient information.
→ The N324 remark clarifies that the payer specifically needs the last seen or visit date, which was not provided in the claim, leading to the denial.
2A claim for a preventive service is submitted, but the last visit date is either missing or incorrectly formatted. The remittance response includes an adjustment reason code for the denial along with the N324 remark.
→ In this case, the N324 remark points out that the last seen or visit date must be corrected or added for the claim to be reconsidered.
3A claim for a specialist consultation is denied due to lack of supporting documentation. The remittance includes an adjustment reason code along with the N324 remark indicating a date issue.
→ The N324 remark signifies that the missing or invalid last seen or visit date is a critical piece of information that needs to be addressed for proper adjudication.
What to Do
- Obtain the correct last seen or visit date from the patient's record and ensure it is accurate.
- Correct the claim by adding or updating the last seen or visit date in the appropriate field before resubmitting.
- Review any accompanying documentation to ensure it supports the last seen or visit date provided.
What to Check
- The patient's medical record to find the accurate last seen or visit date.
- The submitted claim form to verify if the date was included and correctly formatted.
- The payer's guidelines regarding required fields for the specific service billed.