N32Remark Code (RARC)Active
N32 Remark Code: Claim Submission by Rendering Provider
The N32 remark code indicates that the claim must be submitted by the provider who rendered the service. This means that the payer has determined that the billing provider listed on the claim does not match the provider who actually performed the service, which is a violation of submission requirements.
How It Relates to the Denial
The N32 remark code typically accompanies adjustment reason codes that indicate a denial or reduction of payment due to improper provider identification. This combination signals that the claim was rejected because it was not submitted by the correct provider, necessitating a review of the claim details.
Common Scenarios
1A physical therapy service was billed under a group practice name, but the payment was denied with the N32 remark code indicating that the individual therapist must submit the claim instead.
→ In this situation, the N32 remark code is pointing out that the claim should have been submitted by the individual therapist who rendered the service, not the group practice.
2An outpatient procedure was billed by a facility, but the N32 remark code appeared on the remittance advising that the attending physician must submit the claim for payment.
→ Here, the N32 remark code indicates that the facility is not the appropriate billing entity; the attending physician should have filed the claim instead.
3A claim for a lab test was submitted under a lab's name, but the N32 code was received, stating that the claim must come from the referring physician.
→ This scenario shows that the payer is expecting the claim to originate from the referring physician, which aligns with the requirements specified by the N32 remark code.
What to Do
- Verify that the claim is submitted by the correct provider who rendered the service.
- Resubmit the claim with the appropriate billing provider's information if necessary.
What to Check
- Claim submission details to confirm the billing provider matches the rendering provider.
- Provider agreements to ensure compliance with submission rules.
- The claim's service documentation to validate who performed the service.