N913Remark Code (RARC)Active
N913 Remark Code - EVV Record Conflict Explained
The N913 remark code indicates that there are multiple Electronic Visit Verification (EVV) records for the same date and time of service. This suggests potential discrepancies in the documented visits, which may affect reimbursement for the billed service.
How It Relates to the Denial
The N913 remark typically accompanies a claim adjustment reason code that indicates a payment denial or reduction based on documentation issues. The combination signals that the payer found conflicting visit records, prompting the need for clarification or correction.
Common Scenarios
1A home health agency submitted a claim for a skilled nursing visit on March 10, 2025, but received an adjustment with the N913 remark code.
→ The N913 code suggests that the payer has identified more than one EVV record for that nursing visit time, indicating a possible issue with the visit documentation.
2A provider billed for a therapy session that occurred on April 15, 2025, and received a remittance that included the N913 remark code alongside a claim adjustment reason code for denial.
→ In this case, the N913 remark points to the existence of multiple EVV records for that therapy session's time, which the payer is using to justify the denial.
3A claim for personal care services on June 5, 2025, was denied, and the remittance included the N913 remark code suggesting further investigation was needed.
→ The N913 remark indicates that there are conflicting EVV records for the same service date and time, which the payer flagged for review.
What to Do
- Investigate the EVV records for the date and time of service in question.
- Correct any discrepancies found between the EVV records and the claim details.
- Resubmit the claim with accurate and reconciled documentation if necessary.
What to Check
- The Electronic Visit Verification records for the specific service date and time.
- The claim details submitted to ensure they align with the verified visit records.
- Any notes or communications from the payer regarding the denial or adjustment.