N902Remark Code (RARC)Active
N902 Remark Code - Missing Health Risk Assessment
The N902 remark code indicates that a Health Risk Assessment (HRA) is missing for the claim in question. This remark supplements the explanation provided by the accompanying claim adjustment reason code, highlighting the need for this specific documentation to support the claim's processing.
How It Relates to the Denial
The N902 remark code typically accompanies adjustments related to claims that require a Health Risk Assessment but do not have one on file. This combination signals to the biller that the payer has denied or adjusted the claim due to the absence of the necessary HRA documentation.
Common Scenarios
1A provider submits a claim for a preventive health service that requires an HRA, but the claim comes back with an adjustment for missing documentation.
→ The presence of the N902 remark code suggests that the payer is denying or adjusting the claim due to the lack of a submitted Health Risk Assessment, which is necessary for processing.
2A claim for an annual wellness visit is submitted without the required HRA, and the remittance advises that the claim has been adjusted.
→ The N902 remark code points to the missing HRA as the reason for the claim adjustment, indicating that the payer expects this documentation to be provided.
3A billing office receives a remittance for a patient visit that includes a N902 remark code, indicating that an HRA was not submitted with the claim.
→ This remark signifies that the payer is requesting the missing Health Risk Assessment to reconsider the claim for payment.
What to Do
- Obtain the missing Health Risk Assessment documentation and prepare it for submission.
- Review the claim to ensure that all required documentation is included before resubmission.
- Consider contacting the payer for clarification on specific HRA requirements related to this claim.
What to Check
- The patient's medical record to confirm whether an HRA was completed and if it can be submitted.
- The claim submission details to verify that the HRA was not included in the initial submission.
- The payer's guidelines regarding HRA requirements for the specific services billed.