N716Remark Code (RARC)Active
N716 Remark Code - Missing Chart Explanation
The N716 remark code indicates that a chart or documentation is missing from the claim submission. This remark supplements the adjustment made by the accompanying reason code, providing clarity on the specific documentation issue that needs to be addressed.
How It Relates to the Denial
The N716 remark typically accompanies adjustment reason codes related to documentation deficiencies. It signals that the payer requires additional documentation to support the claim, specifically a patient chart that was not provided at the time of billing.
Common Scenarios
1A claim for a surgical procedure was submitted, but the remittance response includes an adjustment reason code indicating a documentation issue. The accompanying N716 remark appears, stating 'Missing chart.'
→ In this case, the N716 remark is pointing out that the payer needs the surgical chart to process the claim correctly. The payer expects this documentation to verify the medical necessity of the procedure.
2An office visit claim was denied due to insufficient documentation. The remittance statement shows a reason code for insufficient documentation along with the N716 remark.
→ Here, the N716 remark is indicating that the patient's chart is required to support the services billed. The payer is requesting this information to justify the claim.
3A claim for diagnostic imaging was submitted, and the remittance includes a reason code for a denial due to lack of documentation, with the N716 remark noted.
→ The N716 remark clarifies that the absence of the patient's chart is the reason for the denial. The payer is specifically asking for this chart to revisit the claim.
What to Do
- Obtain the missing patient chart or relevant documentation as indicated by the N716 remark.
- Submit the chart to the payer to support the claim and address the documentation deficiency.
What to Check
- Check the original claim submission for any missing chart references.
- Review the payer's documentation requirements to ensure compliance.
- Verify that the chart includes all necessary information to support the service billed.