N155Remark Code (RARC)ActiveInformational Alert
N155 Remark Code - Alert for Other Insurance Information
The N155 remark code alerts the biller that the payer does not have any record of other insurance on file for the patient. This means that if the patient has additional insurance coverage, it needs to be submitted for the payer's records to ensure proper processing of claims.
What This Alert Tells You
The N155 remark is an informational alert and is not associated with any specific adjustments or denial reason codes. It serves to notify the provider that they should ensure all relevant insurance information is up-to-date in the payer's system.
Common Scenarios
1A patient with multiple insurance plans receives treatment, and the provider submits a claim. The payer responds with the N155 remark.
→ In this case, the payer is indicating that they have no record of the patient's other insurance, which may affect future claims processing. The provider should verify and submit any additional insurance details.
2During the billing process, a provider notices the N155 alert after submitting a claim for a service rendered to a patient with known secondary insurance.
→ The alert suggests that the payer's records are incomplete regarding the patient's insurance. The provider needs to confirm the existence of the other insurance and provide that information to the payer.
3A biller receives the N155 remark after submitting a claim for a patient who has previously reported having secondary coverage.
→ This remark indicates that the payer lacks documentation of the secondary insurance in their records. The biller should take steps to ensure that this information is captured and submitted to the payer.
What to Do
- Submit the patient's other insurance information to the payer for their records.
- Verify the patient's insurance coverage to ensure all policies are documented correctly.
- Contact the patient if additional information is needed regarding their insurance coverage.
What to Check
- The patient's insurance policy documents to confirm all active coverages.
- Any previous communications or documentation submitted to the payer regarding the patient's insurance.
- The patient's eligibility response to determine if other insurance details were previously indicated.