N255Remark Code (RARC)Active
N255 Remark Code - Missing/Invalid Billing Provider Taxonomy
The N255 remark code indicates that there is a missing, incomplete, or invalid billing provider taxonomy associated with the claim. This remark supplements the adjustment details provided by the accompanying reason code, clarifying that the taxonomy information is essential for proper claim processing.
How It Relates to the Denial
The N255 remark typically accompanies adjustment reason codes related to claim rejections or denials due to provider information discrepancies. This combination signals to the biller that the taxonomy code needs to be reviewed and corrected to proceed with payment.
Common Scenarios
1A claim for a specialist service was submitted, but the payment was denied due to provider taxonomy issues.
→ The N255 remark indicates that the taxonomy code for the billing provider is missing or invalid, which needs to be addressed to resolve the denial.
2A facility claim was processed but returned with an adjustment indicating an error related to the billing provider's taxonomy.
→ The N255 remark suggests that the taxonomy information is incomplete, which must be verified and corrected to facilitate proper payment.
3A claim submission for a primary care visit received an adjustment that included the N255 remark code, indicating an issue with provider identification.
→ The presence of the N255 remark means that the taxonomy code associated with the billing provider is either missing or incomplete, necessitating an update.
What to Do
- Verify the billing provider's taxonomy code in your records.
- Correct any inaccuracies or omissions in the taxonomy information before resubmitting the claim.
- Ensure the correct taxonomy is submitted according to the payer's requirements.
What to Check
- The claim submission details to confirm the taxonomy code was included.
- The billing provider's enrollment records for the correct taxonomy information.
- The payer's taxonomy code requirements to ensure compliance.