N248Remark Code (RARC)Active
N248 Remark Code - Missing Assistant Surgeon Name
The N248 remark code indicates that there is a missing, incomplete, or invalid name for the assistant surgeon associated with the billed service. This code supplements an adjustment already detailed by an accompanying claim adjustment reason code, providing additional context for the denial or reduction in payment.
How It Relates to the Denial
The N248 remark code typically accompanies adjustment reason codes related to claims for surgical procedures that require the identification of an assistant surgeon. This combination signals that the claim has been adjusted due to issues specifically with the assistant surgeon's name not meeting the payer's requirements.
Common Scenarios
1A surgical claim was submitted for a procedure involving multiple surgeons, but the assistant surgeon's name was not included on the claim form.
→ The N248 remark code indicates that the claim was denied or adjusted due to the absence of the assistant surgeon's name, and the payer expects this information to be corrected before resubmission.
2A claim for a surgical procedure was processed, but the assistant surgeon's name was listed incorrectly, leading to a payment reduction.
→ The N248 remark code suggests that the claim was adjusted because the payer found the assistant surgeon's name to be invalid, indicating the need for accurate name details to align with the payer’s requirements.
3A claim for a complex surgical procedure was submitted with the assistant surgeon's name missing, resulting in a denial.
→ The appearance of the N248 remark code indicates that the payer requires the assistant surgeon's name to be included for the claim to be considered eligible for payment.
What to Do
- Review the claim submission for the assistant surgeon's name and ensure it is complete and accurate.
- If the assistant surgeon's name was omitted, add it to the claim and resubmit for processing.
- Correct any inaccuracies in the assistant surgeon's name to match the records before resubmitting the claim.
What to Check
- The original claim form submitted to ensure the assistant surgeon's name is included and correct.
- The eligibility response from the payer to confirm the assistant surgeon's name requirements.
- Any payer-specific guidelines regarding the documentation needed for assistant surgeons.