N278Remark Code (RARC)Active
N278 Remark Code - Missing Facility Provider Identifier
The N278 remark code indicates that there is a missing, incomplete, or invalid identifier for the service facility provider from another payer. This remark supplements an adjustment made by a Claim Adjustment Reason Code, indicating that the claim cannot be processed without the correct facility provider identifier.
How It Relates to the Denial
The N278 remark typically accompanies adjustment reason codes related to claims that involve multiple payers or coordination of benefits. The combination signals that the claim's processing is hindered due to issues with the service facility provider identifier.
Common Scenarios
1A claim for a surgical procedure was submitted with a secondary payer, but the remittance indicated an adjustment due to missing information.
→ The N278 remark suggests that the claim cannot be processed further because the service facility provider identifier was not provided or is incorrect, impacting the claim's adjudication.
2A patient received treatment at an outpatient facility, and the claim was sent to a primary and secondary payer, but the secondary payer's remittance returned an N278 remark.
→ In this case, the N278 remark indicates that the secondary payer requires a valid service facility provider identifier from the primary payer before proceeding with the claim.
3An emergency room visit was billed, and the claim was denied by a secondary payer with an N278 remark noted on the remittance advice.
→ This suggests that the claim's processing is incomplete due to the absence or invalidity of the facility provider identifier from the other payer's records.
What to Do
- Verify that the service facility provider identifier is included and correctly formatted on the claim.
- Obtain the correct service facility provider identifier from the other payer or facility if missing or invalid.
- Resubmit the claim with the updated and accurate service facility provider identifier.
What to Check
- The claim submission for the service facility provider identifier field.
- The remittance advice for the accompanying reason code to understand the adjustment context.
- Any communication from the other payer regarding their requirements for service facility provider identifiers.