N217Remark Code (RARC)Active
N217 Remark Code - One Site of Service per Provider
The N217 remark code indicates that the payer has limited payment to a single site of service for each provider per claim. This means that, regardless of the number of services provided, only one site of service will be compensated under the terms of the claim.
How It Relates to the Denial
The N217 remark code typically accompanies adjustment reason codes that indicate a payment reduction due to multiple services billed from different locations. This combination signals that the payer is enforcing a policy on site of service limitations for claims submitted by the provider.
Common Scenarios
1A claim submitted for a patient includes services from two different locations performed by the same provider on the same date. The remittance shows a payment adjustment.
→ The N217 remark code explains that the payer has only compensated for one of the locations based on their policy to pay for only one site of service per claim.
2A provider bills for a procedure performed at their office and a follow-up service at a hospital on the same day. The remittance response indicates a reduction in payment.
→ Here, the N217 remark code clarifies that the payer's policy restricts reimbursement to one site of service, leading to a payment for only one of the billed locations.
3A claim includes multiple services rendered by a specialist at different sites on the same day. The remittance advises a payment adjustment with a note about site of service.
→ The N217 remark code indicates the payer's rule that limits payment to one site of service per provider per claim, which accounts for the adjustment shown.
What to Do
- Review the claim to identify the services billed and their respective sites of service.
- Consider resubmitting the claim with a focus on the primary site of service if additional reimbursement is warranted under the payer's policies.
What to Check
- The claim details to confirm the sites of service billed.
- The accompanying adjustment reason code to understand the payment reduction context.
- The provider's contract with the payer to verify site of service limitations.