N267Remark Code (RARC)Active
N267 Remark Code - Missing Ordering Provider Identifier
The N267 remark code indicates that the claim has a missing, incomplete, or invalid ordering provider secondary identifier. This remark supplements an adjustment already indicated by an accompanying reason code, providing further detail on the specific issue with the ordering provider's information.
How It Relates to the Denial
The N267 remark typically appears alongside claim adjustment reason codes that indicate a denial or reduction in payment due to issues with the ordering provider's details. This combination signals that the claim cannot be processed correctly due to the identified problem with the secondary identifier.
Common Scenarios
1A provider submits a claim for a diagnostic test but receives a denial indicating that the ordering provider's secondary identifier is missing.
→ The N267 remark clarifies that the claim was denied because the secondary identifier for the ordering provider was not included or was incorrect, which the payer requires for processing.
2A claim for a referral service is submitted, but the remittance advises that the payment has been adjusted due to an invalid ordering provider identifier.
→ In this case, the N267 remark informs the biller that the adjustment relates specifically to the ordering provider's secondary identifier being invalid, leading to the payment issue.
3A facility bills for a procedure that requires an ordering provider's information, but the remittance shows a reduction in payment with a remark about the provider's identifier.
→ Here, the N267 remark indicates that the payment was impacted because the ordering provider's secondary identifier was either not provided or was incorrect, affecting the claim's validity.
What to Do
- Verify the ordering provider's secondary identifier on the claim submission.
- Correct any errors or omissions in the ordering provider's secondary identifier.
- Ensure that the updated identifier is included in future claim submissions.
What to Check
- The claim submission records to confirm the ordering provider's secondary identifier.
- Payer guidelines to determine the required format for the secondary identifier.
- Previous remittances to see if this issue has occurred before with the same provider.