N828Remark Code (RARC)ActiveInformational Alert
N828 Remark Code - Payment Suppressed by Contracted Funding
The N828 remark code indicates that payment is being suppressed due to a contracted funding arrangement. This alert is informational, meaning it does not directly relate to a specific claim adjustment or denial.
What This Alert Tells You
The N828 remark code is typically seen in conjunction with other reason codes but is not tied to any adjustments. It serves to inform the provider about payment suppression related to contractual agreements.
Common Scenarios
1A provider submitted a claim for a service that is usually covered, but the payment received included the N828 remark code.
→ In this case, the N828 indicates that the payment was held back because the service is governed by specific contract terms that affect funding.
2A provider checks the remittance advice for a recent claim and sees the N828 code listed without any accompanying denial or adjustment reason.
→ Here, the N828 serves as an alert that the claim payment has been suppressed based on a contracted funding setup, but no further action is required.
3While reviewing payments, a billing specialist notices the N828 remark on multiple claims related to a provider's contract with a payer.
→ The presence of the N828 code across these claims suggests a common contractual funding issue that may affect how payments are processed.
What to Do
- Do not take any action regarding the claim based on this remark alone, as it is informational.
- Expect that future payments may also reflect this alert if contracted funding continues to apply.
What to Check
- Review the contract terms with the payer to understand how funding affects payment.
- Check the remittance advice for any other accompanying reason codes that may provide additional context.
- Consult with the provider or billing department for clarity on the contracted funding arrangement.