N884Remark Code (RARC)ActiveInformational Alert
N884 Remark Code - No Surprises Act Alert
The N884 remark code indicates that the No Surprises Act may apply to the claim. It serves as a notification to the biller that they should reach out to the payer for guidance on submitting information related to whether the service was provided during a visit to a participating facility.
What This Alert Tells You
The N884 alert typically appears with claims that may involve out-of-network services or facilities, where the No Surprises Act could impact billing procedures. It is purely informational and does not relate to any financial adjustments.
Common Scenarios
1A claim for an emergency room visit was submitted for a patient who used an out-of-network facility. The payer returned the claim with the N884 remark code.
→ In this case, the payer is indicating that the No Surprises Act may apply, suggesting that the biller needs to determine if the patient was treated at a participating facility and follow up accordingly.
2A provider billed for a procedure performed at a facility that the patient later indicated was out-of-network. The remittance advice included the N884 remark code.
→ This remark is alerting the biller to the potential applicability of the No Surprises Act, prompting them to verify the facility's status and consult the payer on next steps.
3A claim for a non-emergency service provided at a facility was submitted, and the remittance included the N884 code, prompting confusion about how to proceed.
→ The N884 remark informs the biller that they may need to provide additional information regarding the facility's participation status, emphasizing the need to contact the payer for clarity.
What to Do
- Contact the payer for specific instructions regarding the No Surprises Act and how it pertains to the claim.
- Prepare any necessary documentation regarding the patient's visit to the facility, especially regarding its participation status.
What to Check
- Review the claim details for the facility where the service was provided.
- Check the patient's insurance policy for information on out-of-network coverage and the No Surprises Act.
- Verify if the facility is listed as a participating provider with the payer.