N239Remark Code (RARC)Active
Effective 08/01/2004

N239 Remark Code - Incomplete/Invalid Physician Form

The N239 remark code indicates that the physician financial relationship form is either incomplete or invalid. This remark supplements a Claim Adjustment Reason Code that has already been applied to the claim, providing additional clarification on the reason for the adjustment.

How It Relates to the Denial

The N239 remark code typically accompanies adjustment reason codes related to provider eligibility or compliance issues. Together, these codes signal that the claim was denied or adjusted due to issues with the required documentation regarding the physician's financial relationship.

Common Scenarios

1A claim for a surgical procedure was submitted, but the remittance shows an adjustment due to documentation issues.
→ The N239 remark indicates that the adjustment is due to an incomplete or invalid financial relationship form for the physician involved in the procedure.
2An office visit claim was processed, and the payment was reduced based on a compliance issue with the provider's paperwork.
→ With the N239 remark, it suggests that the reduction in payment is linked to missing or incorrect information on the physician financial relationship form.
3A provider's claim for diagnostic tests was denied, and the remittance includes a reason code about documentation compliance.
→ The appearance of the N239 remark indicates that the denial is specifically due to the financial relationship form not meeting requirements.

What to Do

  1. Review the physician financial relationship form for completeness and validity.
  2. Correct any errors or omissions found on the form before resubmitting the claim.
  3. Ensure that the form is signed and dated appropriately, if required.

What to Check

  • The physician financial relationship form submitted with the claim.
  • The claim submission records to verify what was included initially.
  • Any communication from the payer regarding the specific requirements for the form.