N922Remark Code (RARC)Active
N922 Remark Code - Missing Primary Care Dentist Info
The N922 remark code indicates that the claim was denied due to missing primary care dentist information. This remark supplements an adjustment reason code, providing clarity on why the adjustment was made regarding the claim.
How It Relates to the Denial
The N922 remark is typically seen alongside adjustment reason codes related to claim denials or reductions where dental services are involved. It signals that additional information is needed to support the claim's validity, specifically regarding the primary care dentist's details.
Common Scenarios
1A dental claim for a procedure was submitted, but the remittance advises that payment was denied due to incomplete information.
→ The N922 remark suggests that the claim was rejected because it lacked information about the primary care dentist, which is required for processing.
2A provider submitted a claim for a routine dental check-up, and the remittance shows an adjustment with the N922 remark attached.
→ In this case, the N922 is indicating that the claim cannot be processed further until the primary care dentist's information is provided.
3After billing for a dental service, the provider receives a remittance stating that the payment was reduced, accompanied by an adjustment reason code and the N922 remark.
→ The N922 remark highlights that the adjustment is due to missing primary care dentist information, which is necessary for the claim to be fully processed.
What to Do
- Obtain the primary care dentist's name and identification details.
- Submit the required primary care dentist information to the payer.
- Ensure that the missing information is included in future claims submissions.
What to Check
- The claim submission for the primary care dentist's details.
- The remittance advice for the specific adjustment reason code it accompanies.
- The eligibility response to confirm if the primary care dentist information was previously submitted.