N287Remark Code (RARC)Active
N287 Remark Code - Missing Referring Provider Identifier
The N287 remark code indicates that there is a missing, incomplete, or invalid secondary identifier for the referring provider. This code supplements a Claim Adjustment Reason Code (CARC) that has already identified an adjustment related to the referring provider's information.
How It Relates to the Denial
The N287 code typically accompanies adjustment reason codes that signal issues with the referring provider's details. This combination suggests that the payer requires complete and accurate identifying information for the referring provider to process the claim correctly.
Common Scenarios
1A claim for a specialist consultation was submitted, but the remittance response included an adjustment for missing referring provider information.
→ The N287 remark code indicates that the referring provider's secondary identifier was incomplete or not provided, which is necessary for the claim to be processed.
2A facility billed for a patient procedure, but the payment remittance showed an adjustment due to an issue with the referring provider's credentials.
→ The appearance of the N287 code means that the referring provider's secondary identifier was either invalid or not included, prompting the need for correction before resubmission.
3A claim involving multiple providers was submitted, but the remittance indicated a denial related to the referring provider's details.
→ The N287 remark code suggests that the referring provider's secondary identifier was not properly documented, which needs rectification for the claim to be reconsidered.
What to Do
- Verify the referring provider's secondary identifier is included on the claim submission.
- Correct any inaccuracies in the referring provider's details before resubmitting the claim.
- Ensure that the referring provider's secondary identifier meets the payer's format requirements.
What to Check
- The claim submission for the referring provider's secondary identifier field.
- The payer's guidelines regarding referring provider identifiers.
- The eligibility response to confirm the correct details for the referring provider.