N378Remark Code (RARC)Active
N378 Remark Code - Prescription Quantity Issues
The N378 remark code indicates that the claim was denied or adjusted due to a missing, incomplete, or invalid prescription quantity. This remark supplements the accompanying reason code by providing specific insight into the nature of the issue with the prescription quantity submitted on the claim.
How It Relates to the Denial
The N378 remark typically accompanies adjustments related to prescription claims where the quantity of medication prescribed is not clearly stated or is not valid. This combination signals to the biller that the prescription information needs review to meet payer requirements.
Common Scenarios
1A pharmacy submitted a claim for a patient's medication but received a remittance indicating an adjustment for a missing prescription quantity.
→ The N378 remark suggests that the pharmacy did not provide a clear quantity of the medication prescribed, which the payer requires for processing the claim.
2A claim for a controlled substance was billed with an unclear quantity, and the remittance returned included an adjustment alongside the N378 remark.
→ In this case, the N378 remark highlights that the prescription quantity is either incomplete or invalid, prompting the pharmacy to verify and correct the quantity on the claim.
3A healthcare provider billed for a medication but the claim was adjusted due to an invalid prescription quantity, as noted by the N378 remark on the remittance advice.
→ The presence of the N378 remark indicates that the provider must check the prescription details to ensure the quantity is accurate and compliant with the payer's requirements.
What to Do
- Review the claim for the prescription quantity submitted and ensure it is complete and valid.
- Correct any discrepancies in the prescription quantity before resubmitting the claim.
- If applicable, obtain clarification from the prescribing physician regarding the correct quantity.
What to Check
- The original prescription document for the correct quantity prescribed.
- The claim submission details to confirm what was billed.
- Payer guidelines regarding prescription quantity requirements to ensure compliance.