N367Remark Code (RARC)ActiveInformational Alert
N367 Remark Code - Claim Forwarded to Processor Alert
The N367 remark code indicates that the claim information has been sent to a Consumer Spending Account processor for review. This typically involves accounts such as flexible spending accounts (FSAs) or health savings accounts (HSAs).
What This Alert Tells You
As an informational alert, N367 does not accompany any specific adjustment or denial. It serves to notify the provider that the claim is under review by a third-party processor related to consumer spending accounts.
Common Scenarios
1A patient submitted a claim for a procedure that is eligible for reimbursement through their health savings account. Upon receiving the remittance advice, the provider sees the N367 alert code.
→ In this case, the N367 code indicates that the claim has been forwarded for review by the HSA processor, meaning the provider should not expect immediate payment until the review is complete.
2After billing for a series of covered services, the provider receives an 835 remittance with the N367 code listed for several claims related to a flexible spending account.
→ The presence of the N367 alert suggests that these claims are currently being evaluated by the FSA processor, and the provider should be aware that payment is pending until the review is finalized.
3A claim for a routine office visit is submitted, and the remittance advice returns with the N367 alert code noted alongside other claims.
→ The N367 alert informs the provider that this claim has been forwarded to a Consumer Spending Account processor, indicating that payment will be delayed until the review process is complete.
What to Do
- Do not take any action on the claim at this time; it is under review by the appropriate processor.
- Monitor the status of the claim for updates from the Consumer Spending Account processor.
What to Check
- Review the remittance advice for other accompanying codes that may provide additional context.
- Check your internal tracking system for updates on the claim status with the Consumer Spending Account processor.
- Verify the details of the flexible spending account or health savings account related to the claim for any specific requirements.