N146Remark Code (RARC)Active
N146 Remark Code - Missing Screening Document Explained
The N146 remark code indicates that a necessary screening document was not included with the claim submission. This remark supplements the adjustment information provided by the associated Claim Adjustment Reason Code, clarifying that documentation is missing that is needed for proper claim processing.
How It Relates to the Denial
The N146 code typically accompanies adjustment reason codes that relate to missing or insufficient documentation. Its presence signals to the biller that the payer requires additional information to support the claim, specifically a screening document.
Common Scenarios
1A claim for a preventive screening service was submitted, but the remittance returned shows an adjustment due to missing documentation.
→ The N146 remark suggests that the claim was denied or adjusted because the required screening document was not provided; the payer expects this document to process the claim.
2A provider billed for a diagnostic test following a screening, but the remittance indicates an adjustment tied to missing documentation.
→ The N146 remark code points out that the necessary screening document, which is a prerequisite for the diagnostic test, was not included in the claim submission.
3A claim for a wellness visit was processed, but the remittance advises an adjustment due to a lack of the appropriate screening document.
→ Seeing the N146 remark means the payer is indicating that the claim cannot be fully processed without the submission of the missing screening documentation.
What to Do
- Obtain the missing screening document and prepare to submit it to the payer.
- Verify that the document meets the payer's requirements for the specific service billed.
- Resubmit the claim with the required documentation attached.
What to Check
- Review the original claim submission to confirm which documents were included.
- Check the payer's specific requirements for screening documents related to the service billed.
- Examine the remittance advice for details on what specific documentation is needed.