N260Remark Code (RARC)Active
Effective 12/02/2004

N260 Remark Code - Missing Billing Provider Contact Info

The N260 remark code indicates that the claim was denied or adjusted due to missing, incomplete, or invalid billing provider or supplier contact information. This remark supplements the accompanying reason code by specifying the issue with the provider's contact details, which are crucial for communication and claim processing.

How It Relates to the Denial

The N260 remark code typically accompanies claim adjustment reason codes related to claim denials or adjustments for issues with provider information. This combination signals that the claim cannot be processed further until accurate billing contact details are provided or corrected.

Common Scenarios

1A provider submitted a claim for a routine office visit, but the remittance shows an adjustment due to missing billing contact information.
→ The N260 remark code highlights that the claim cannot be processed because the billing provider's contact information was not provided or was incorrect, leading to the adjustment.
2A supplier's claim for durable medical equipment was denied, and the remittance included a reason code for incomplete information along with the N260 remark code.
→ The presence of the N260 remark code indicates that the supplier's contact details were insufficient or invalid, preventing the claim from being processed.
3A facility submitted a claim for outpatient services, but the remittance advises of an adjustment due to invalid billing provider information, accompanied by the N260 remark code.
→ The N260 remark code points out that the claim was impacted by issues with the billing provider's contact information, necessitating a review and update of the details.

What to Do

  1. Verify the billing provider's contact information for accuracy and completeness.
  2. Update the claim with the correct billing provider's contact details before resubmission.
  3. Ensure that all required fields for provider information are filled out correctly in the billing system.

What to Check

  • Review the billing provider's contact information submitted on the claim form.
  • Check the eligibility response for any discrepancies in the provider's contact details.
  • Consult the provider's profile in the billing software for correct contact information.