N392Remark Code (RARC)Active
N392 Remark Code: Incomplete Emergency Department Records
The N392 remark code indicates that the emergency department records submitted with the claim are either incomplete or invalid. This remark supplements a Claim Adjustment Reason Code, providing further clarification on the basis for the adjustment related to the emergency department documentation.
How It Relates to the Denial
N392 is typically seen alongside adjustment reason codes that address documentation issues or insufficient information. The combination signals that the payer requires more complete or valid emergency department records to process the claim correctly.
Common Scenarios
1A claim was submitted for an emergency room visit, but the payer returned the remittance with an adjustment indicating a lack of proper documentation. The accompanying reason code pointed to insufficient records.
→ The appearance of N392 clarifies that the emergency department records provided do not meet the required standards, prompting the need for a review and possible resubmission of the correct documentation.
2After billing for an emergency procedure, the provider receives a remittance indicating a denial due to documentation issues. The denial includes an adjustment reason code related to missing information.
→ In this case, N392 reinforces that the emergency department documentation is deemed incomplete or invalid, indicating that additional or corrected records are necessary for reconsideration.
3A facility submitted a claim for an emergency service, but the remittance shows a denial for insufficient documentation, along with an accompanying reason code for incomplete records.
→ N392 suggests that the payer found specific issues with the emergency department records submitted, and the facility needs to address these deficiencies before resubmitting the claim.
What to Do
- Review the emergency department records submitted with the claim for completeness and validity.
- Gather any missing documentation required to meet the payer's standards for emergency department records.
- Resubmit the claim with the corrected or additional documentation as necessary.
What to Check
- The original emergency department records submitted with the claim.
- The claim submission details to ensure all required information was included.
- The payer's documentation requirements for emergency department services.