N511Remark Code (RARC)ActiveInformational Alert
N511 Remark Code - Consumer Spending Account Info Alert
The N511 code indicates that information regarding the availability of Consumer Spending Account funds for the member's liability related to this claim is currently unavailable. This alert serves as a notification rather than indicating any adjustment to the claim or payment.
What This Alert Tells You
As an informational alert, the N511 remark does not accompany any specific adjustment or reason codes. It simply informs the provider that the necessary data on consumer spending accounts is not accessible at the moment.
Common Scenarios
1A claim was submitted for a service rendered, and the biller receives an 835 remittance showing the N511 alert.
→ This alert signifies that the payer cannot provide details about any Consumer Spending Account funds that could be used to cover the patient's share of the costs for the service.
2During a claims review, a provider notices the N511 alert on multiple claims for patients with Consumer Spending Accounts.
→ The presence of the N511 alert across these claims indicates that there is a temporary lack of information regarding the availability of funds to offset member liabilities.
3A provider queries the payer's remittance advice and finds the N511 alert listed for a recent service billed to a patient with a spending account.
→ The N511 alert suggests that the payer is currently unable to confirm whether any funds are available in the patient's Consumer Spending Account to cover the liability for this claim.
What to Do
- Do not take any action regarding resubmitting the claim based on the N511 alert.
- Monitor future remittance advices for updates on the availability of Consumer Spending Account funds.
What to Check
- Review the patient's Consumer Spending Account details if available.
- Check for any communications from the payer regarding changes to spending account information.
- Look at the claim details to ensure all relevant information was submitted correctly.