N467Remark Code (RARC)Active
N467 Remark Code - Missing Tests and Analysis Report
The N467 remark code indicates that a tests and analysis report is missing from the claim submission. This remark supplements an adjustment already detailed by a Claim Adjustment Reason Code, providing additional context for the denial or reduction of payment.
How It Relates to the Denial
The N467 remark code typically accompanies a reason code related to insufficient documentation. This combination signals to the biller that the payer requires specific tests and analysis reports to process the claim appropriately.
Common Scenarios
1A laboratory billed for a series of diagnostic tests, but the payment was reduced due to missing documentation.
→ The N467 remark code is indicating that the payer did not receive the necessary tests and analysis report needed to support the claim.
2A provider submitted a claim for a comprehensive metabolic panel, but the remittance showed a denial with a reason code and the N467 remark code.
→ This suggests that the claim was denied because the accompanying tests and analysis report was not included, which the payer expected to see.
3A claim for imaging services is submitted, but the 835 response includes a denial along with the N467 remark code.
→ The N467 indicates that the payer is looking for a specific tests and analysis report that was not provided with the claim.
What to Do
- Obtain the missing tests and analysis report and prepare to submit it to the payer.
- Review the original claim submission to ensure all required documentation is included in the future.
What to Check
- The claim submission records to verify what documentation was provided.
- The payer's documentation requirements for the specific tests performed.
- Any communication from the payer regarding the missing documentation.