N391Remark Code (RARC)Active
N391 Remark Code - Missing Emergency Department Records
The N391 remark code indicates that the payer requires additional documentation due to missing emergency department records related to the claim. This remark supplements an adjustment described by a Claim Adjustment Reason Code, clarifying the specific documentation issue that needs to be addressed.
How It Relates to the Denial
The N391 remark code typically accompanies reason codes related to insufficient documentation or incomplete claims. When this combination appears, it signals that the payer is denying or adjusting the claim due to a lack of necessary emergency department records.
Common Scenarios
1A claim for an emergency department visit was submitted, but the payment was reduced due to missing documentation.
→ The N391 remark indicates that the payer found the claim lacking essential emergency department records, which are needed to support the billed services.
2A facility billed for a patient visit to the emergency department, but the remittance advised an adjustment for missing records.
→ The presence of the N391 remark suggests that the payer is seeking specific emergency department documentation to justify the claim's original amount.
3After submitting a claim for emergency services, the provider received a remittance with an adjustment and the N391 remark attached.
→ This remark indicates that the payer is requesting additional emergency department records, which are critical for processing the claim correctly.
What to Do
- Gather the missing emergency department records related to the claim.
- Submit the required documentation to the payer for review.
- Ensure that the records are complete and include all necessary details to support the claim.
What to Check
- The claim submission to verify what documentation was originally provided.
- The remittance advice to confirm the associated Claim Adjustment Reason Code.
- Patient records from the emergency department to locate the missing documentation.