N667Remark Code (RARC)Active
N667 Remark Code - Missing Prescription Explained
The N667 remark code indicates that a prescription is missing for the billed service. This suggests that the payer requires evidence of a valid prescription to process the claim correctly.
How It Relates to the Denial
The N667 remark code typically accompanies a claim adjustment reason code that indicates a denial or reduction due to insufficient documentation. It clarifies that the specific documentation lacking is the prescription itself.
Common Scenarios
1A provider submitted a claim for a medication but received a denial indicating insufficient documentation.
→ The N667 remark code indicates that the payer found no prescription included with the claim, which is necessary for approval.
2A claim for a durable medical equipment item was denied due to missing documentation, and the remittance included a reason code for insufficient documentation.
→ The N667 remark code specifies that the missing documentation is a prescription, which the payer expects to be provided to support the claim.
3A physical therapy service was billed without a prescription, and the remittance advised that the claim was denied due to missing supporting documents.
→ The presence of the N667 remark code highlights that a prescription is required to validate the service billed.
What to Do
- Obtain a copy of the missing prescription from the prescribing provider.
- Submit the prescription along with the original claim for reconsideration.
- Ensure future claims include all required documentation, including prescriptions.
What to Check
- The original claim submission to confirm if a prescription was included.
- The provider's records to verify that a prescription was issued for the service.
- The payer's documentation requirements related to prescriptions for the billed service.