N140Remark Code (RARC)ActiveInformational Alert
N140 Remark Code: Appeal Rights for OCONUS Providers
The N140 remark code indicates that you are not recognized as an authorized provider for out-of-country services (OCONUS), which means you cannot appeal a decision regarding the claim. If the patient has formally designated you as their representative and you disagree with the Dental Advisor's assessment, you may pursue an appeal with specific documentation within a designated timeframe.
What This Alert Tells You
The N140 alert is informational and does not indicate a specific adjustment or denial. It serves to clarify the provider's status regarding appeal rights based on authorization for OCONUS services.
Common Scenarios
1A dental provider submitted a claim for a service rendered outside the country and received a remittance with the N140 remark code.
→ The N140 code is signaling that the provider lacks authorization to appeal the decision, which may affect their ability to contest the claim outcome.
2A provider receives the N140 remark after an appeal submission related to a dental service for an overseas patient.
→ The remark informs the provider that their appeal is not valid unless they have the patient’s written authorization to act on their behalf.
3A dental office is attempting to challenge a claim denial for services provided to a beneficiary abroad and sees the N140 code on the remittance advice.
→ The N140 remark indicates that the provider must verify their authorization status and gather necessary documents to potentially pursue an appeal.
What to Do
- Do not resubmit the claim based on the N140 remark alone, as it is informational.
- If the patient has appointed you as their representative, prepare to submit the necessary documentation for an appeal.
What to Check
- Verify the patient's written authorization designating you as their representative.
- Check the original claim submission details to confirm the nature of the services rendered OCONUS.
- Review the Dental Advisor's opinion letter for specifics on the decision being appealed.