N395Remark Code (RARC)Active
N395 Remark Code - Missing Laboratory Report Explanation
The N395 remark code indicates that a laboratory report is missing from the claim submission. This remark serves as additional information to an adjustment already noted by the accompanying reason code, highlighting the need for the lab report to process the claim properly.
How It Relates to the Denial
The N395 remark typically accompanies adjustment reason codes related to claims requiring laboratory services. It signals that the claim cannot be processed due to the absence of necessary documentation, specifically the lab report.
Common Scenarios
1A claim for a lab test was submitted, but the payment was adjusted due to a lack of supporting documentation.
→ The N395 remark suggests that the payer requires the lab report to continue processing the claim, as indicated by the accompanying reason code.
2A provider billed for a series of diagnostic tests, and the remittance indicated a denial with a reason code along with the N395 remark.
→ This indicates that the payer is seeking the missing laboratory report to validate the tests performed before they can authorize payment.
3A claim for blood work was submitted, and the remittance response included a denial along with the N395 remark code.
→ The N395 remark points to the necessity of submitting the corresponding lab report for the claim to be reconsidered for payment.
What to Do
- Obtain the missing laboratory report and attach it to the claim submission.
- Resubmit the claim with the lab report included to avoid further denials.
- Ensure that the documentation clearly supports the services billed.
What to Check
- The original claim submission to confirm what documentation was provided.
- The payer's policy regarding laboratory report requirements for claims.
- The remittance advice for any accompanying reason codes that detail the adjustment.