N379Remark Code (RARC)Active
N379 Remark Code - Claim Level vs Line Level Discrepancy
The N379 remark code indicates that there is a discrepancy between the claim-level information and the line-level information submitted for a service. This typically signals that details such as service dates, procedure codes, or modifiers reported at the line level do not align with what was provided at the claim level.
How It Relates to the Denial
N379 usually accompanies claim adjustment reason codes that reflect discrepancies between the overall claim and the individual services billed. The combination of N379 with these reason codes highlights specific areas where the claim requires correction or clarification due to mismatched data.
Common Scenarios
1A provider submits a claim for a surgical procedure with multiple line items detailing different services performed during the same visit. The remittance comes back with an adjustment reason code indicating a payment issue.
→ The N379 remark code suggests that the claim's overall details, such as the date of service or billed amount, do not match the specific line items, prompting a review of the submitted information for accuracy.
2A claim is submitted for a patient visit that includes both an evaluation and management service and a diagnostic test. The remittance shows an adjustment for the diagnostic test line item.
→ The presence of the N379 remark code indicates that the information at the claim level does not correspond with the details provided for the diagnostic test, signaling the need to verify the accuracy of the service details.
3A facility bills for a bundled service that includes several distinct procedures, but the remittance indicates that one of the line items was denied due to a mismatch.
→ Here, the N379 remark code points to inconsistencies between the bundled claim information and the individual procedure details, indicating that a review of the coding and billing methodology may be necessary.
What to Do
- Review the line-level details of the claim for accuracy and ensure they match the claim-level information provided.
- Correct any discrepancies found between the claim-level and line-level data before resubmission.
- Ensure that any modifiers, procedure codes, and service dates align between the claim and the individual line items.
What to Check
- The claim submission details to verify the accuracy of service dates and codes at both claim and line levels.
- The payer's guidelines for any specific requirements related to claim and line-level information.
- The remittance advice for the specific adjustment reason code that accompanies the N379 remark for additional context.