N678Remark Code (RARC)Active
N678 Remark Code - Missing Post-Operative Images
The N678 remark code indicates that post-operative images or visual field results are missing from the documentation submitted with the claim. This remark supplements an adjustment already described by a Claim Adjustment Reason Code, clarifying that the absence of these specific results is a factor in the adjustment decision made by the payer.
How It Relates to the Denial
The N678 remark code typically accompanies adjustment reason codes related to the lack of necessary documentation for post-operative services. The combination signals to the biller that additional information is required to support the claim's validity and potential payment.
Common Scenarios
1A claim for a post-operative ophthalmology procedure was submitted, but the remittance shows an adjustment for insufficient documentation.
→ The N678 remark code points out that the payer requires post-operative images or visual field results that were not included with the claim. This indicates that the claim may be denied or adjusted until the missing information is provided.
2A surgery claim was denied due to missing documentation, and the remittance indicates the absence of specific post-operative results.
→ Here, the N678 remark code is highlighting the need for the post-operative images or visual field results to support the claim. The payer expects these results to be submitted to proceed with the claim.
3A claim for a visual field examination was processed, but the remittance advises that certain required images were not submitted.
→ In this case, the N678 remark code indicates that the missing post-operative images are preventing proper adjudication of the claim. The provider must supply these images to resolve the issue.
What to Do
- Gather the required post-operative images or visual field results that were not submitted with the claim.
- Prepare to resubmit the claim with the missing documentation included.
- Ensure that the documentation clearly correlates with the services billed to avoid future denials.
What to Check
- Review the original claim submission to identify what documentation was included.
- Check the payer's documentation requirements for post-operative services.
- Confirm that the missing images or results are available and properly formatted for resubmission.