N805Remark Code (RARC)ActiveInformational Alert
N805 Remark Code - Claim Processed Through CCE Alert
The N805 remark code indicates that the claim or service was processed through the Correct Code Editor (CCE). This alert serves as a notification rather than a denial, meaning it does not directly impact payment or require correction actions from the biller.
What This Alert Tells You
As an informational alert, the N805 remark code is not tied to any specific adjustment or reason code. It serves to inform the billing office that the claim has undergone a review process for coding accuracy, which may affect how the claim is viewed but does not indicate any specific issue with the claim itself.
Common Scenarios
1A claim for a surgical procedure was submitted, and upon reviewing the 835 remittance advice, the billing team noticed the N805 remark code listed.
→ The appearance of the N805 remark code indicates that the claim was evaluated using the Correct Code Editor, suggesting that coding standards were applied, but it does not imply any errors or denials.
2A facility submitted a claim for diagnostic testing, and received the remittance advice showing the N805 alert among other remarks.
→ The N805 remark informs the facility that the claim was processed through the Correct Code Editor, indicating compliance with coding protocols, without implying any need for further action.
3A provider's office submitted a claim for an office visit and found the N805 remark on their remittance advice.
→ The N805 alert indicates that the claim was subject to the Correct Code Editor review, providing assurance that coding practices were adhered to, without affecting payment.
What to Do
- Do not take any corrective action based on the N805 remark code as it is informational only.
- Continue to monitor other remarks and reason codes for payment-related information.
What to Check
- Review the claim details to ensure all coding adheres to the latest guidelines and standards.
- Check the Correct Code Editor guidelines to understand potential impacts on future claims processing.