N193Remark Code (RARC)ActiveInformational Alert
N193 Remark Code - Service Coverage Alert
The N193 remark code indicates that a specific federal, state, or local program may provide coverage for the billed service through another payer. This alert serves as a notification to the biller that there may be alternate coverage options available for the service rendered.
What This Alert Tells You
As an ALERT remark, N193 is not associated with any adjustments or denials. It is intended to inform providers of potential other payers that might cover the service in question, rather than indicating an issue with the claim itself.
Common Scenarios
1A provider submits a claim for a specific service and receives an 835 with the N193 remark code.
→ The N193 remark suggests that the service may be eligible for coverage under a different federal, state, or local program, advising the provider to explore other payer options.
2A medical facility bills for a procedure that is often covered by Medicaid but receives an N193 remark on the remittance advice.
→ In this case, the N193 alert indicates that the procedure might be covered by Medicaid or another government program, prompting the facility to check for alternate coverage.
3A specialist bills for a therapy service and sees the N193 alert on their remittance advice.
→ This alert signals that the therapy service may qualify for coverage under a different payer, suggesting the specialist verify any applicable program that might cover the service.
What to Do
- Do not resubmit the claim based on this remark alone.
- Consider verifying with the patient or other resources if another payer might cover the service.
What to Check
- Review the patient's insurance information for other potential payers.
- Consult the eligibility response for coverage details related to federal, state, or local programs.
- Check any relevant documentation regarding the service to identify other possible coverage options.