N689Remark Code (RARC)ActiveInformational Alert
N689 Remark Code - Alert for Rate Change Reversal
The N689 alert indicates that a claim or service reversal has occurred due to a retroactive rate change. This means that the payment amount has been adjusted after the initial claim was processed, reflecting updated reimbursement rates.
What This Alert Tells You
As an informational alert, the N689 remark is not tied to any specific adjustment or reason code. It serves to notify providers that a prior payment has been reversed because of changes in rate structures, but does not require any action on the part of the provider.
Common Scenarios
1A provider submitted a claim for a service that was paid, but later received an 835 indicating a reversal with the N689 alert.
→ This means the payment was reversed due to a retroactive rate change, likely affecting reimbursement for that service.
2A facility billed for a series of outpatient services and later noticed an N689 alert on their remittance advice for one of the services.
→ The facility should understand that this alert signifies a change in rates that has retroactively impacted the payment for that service.
3A practice received an 835 with the N689 alert after previously receiving payment for a procedure that underwent a rate adjustment.
→ The alert is informing the practice that the reversal is linked to a retroactive adjustment in the payment rate, not an issue with the claim itself.
What to Do
- Do not resubmit the claim; this is an informational alert only.
- Monitor for any future communications regarding rate changes or adjustments.
What to Check
- Review the remittance advice for additional context regarding the reversal.
- Check for any notifications from the payer regarding changes in reimbursement rates.
- Consult internal records to understand how the rate change may impact future claims.