N192Remark Code (RARC)ActiveInformational Alert
N192 Remark Code - Patient Medicaid/Qualified Medicare Beneficiary
The N192 remark code indicates that the patient is identified as a Medicaid or Qualified Medicare Beneficiary. This alert serves as a notification to the billing office regarding the patient's coverage status without indicating a denial or adjustment to the claim.
What This Alert Tells You
As an informational alert, the N192 remark code does not accompany any specific adjustment or reason codes. It is intended to inform billing staff about the patient's insurance coverage for future reference and processing.
Common Scenarios
1A claim was submitted for a preventive service for a patient, and the remittance advice included the N192 alert code.
→ In this case, the N192 alert signifies that the patient has Medicaid or is a Qualified Medicare Beneficiary, which may affect coverage and billing practices for the services rendered.
2A provider receives an 835 remittance for a routine check-up, showing the N192 code on the remittance advice.
→ The N192 alert informs the provider that the patient qualifies for Medicaid or Medicare assistance, which may influence billing decisions or eligibility for additional services.
3A claim for durable medical equipment was submitted, and the remittance returned with the N192 remark code listed.
→ The presence of the N192 alert indicates the patient's status as a Medicaid or Qualified Medicare Beneficiary, suggesting that the billing team should verify coverage details before proceeding with any billing actions.
What to Do
- Do not resubmit claims based solely on the presence of this alert.
- Use this information to ensure compliance with Medicaid or Medicare billing rules and guidelines.
What to Check
- Verify the patient's eligibility and coverage details with the Medicaid or Medicare plan.
- Review the patient's medical record to confirm the services provided and their relevance to the patient's coverage status.
- Consult billing guidelines related to services rendered to Medicaid or Qualified Medicare Beneficiaries.