N262Remark Code (RARC)Active
N262 Remark Code - Missing Provider Identifier Issue
The N262 remark code indicates that there is a missing, incomplete, or invalid operating provider primary identifier on the claim. This remark supplements a claim adjustment reason code that has already been provided, offering further clarification on the specific issue with the provider's identifier.
How It Relates to the Denial
Typically, the N262 code accompanies reason codes related to provider identification problems, signaling that the primary identifier for the operating provider needs correction or completion. This combination suggests that the claim cannot be processed correctly due to the identified issue with the provider's information.
Common Scenarios
1A claim for a surgical procedure was submitted, but the remittance shows an N262 remark code alongside a reason code indicating a denial due to provider identification issues.
→ The N262 code is pointing out that the primary identifier for the operating provider was either not included, was incorrect, or was incomplete, which is preventing the claim from being processed.
2A physical therapy claim was denied, and the 835 remittance included an N262 remark code along with a reason code for incomplete information.
→ This indicates that the operating provider's primary identifier was missing or invalid, and the payer requires this information to proceed with the claim.
3A claim for an outpatient service returned with an adjustment for insufficient provider information, accompanied by the N262 remark code.
→ The remark is highlighting that there is a need for a valid operating provider primary identifier, which must be corrected before resubmission.
What to Do
- Verify that the operating provider's primary identifier is included on the claim.
- Ensure the primary identifier is accurate and matches the payer's records.
- Correct any missing or incomplete information related to the operating provider's identifier.
What to Check
- Check the claim submission for the operating provider's primary identifier field.
- Review the payer's provider directory for the correct identifier format.
- Consult the claim adjustment reason code for additional details on the adjustment.