N325Remark Code (RARC)Active
N325 Remark Code - Missing Last Worked Date Explained
The N325 remark code indicates that the claim was denied or adjusted due to a missing, incomplete, or invalid last worked date. This information is critical for determining eligibility or benefit calculations related to the claim.
How It Relates to the Denial
The N325 remark code typically accompanies a Claim Adjustment Reason Code that reflects denial or adjustment due to issues with the last worked date. The combination signals that additional details are needed to process the claim accurately.
Common Scenarios
1A provider submitted a claim for a patient who previously received workers' compensation benefits, but the remittance shows an adjustment for an invalid last worked date.
→ In this case, the N325 remark code suggests that the payer could not verify the last worked date, which is essential for processing the claim related to the patient's benefits.
2A claim for physical therapy services was submitted, but the remittance returned an adjustment indicating that the last worked date was missing.
→ The N325 remark code here indicates that the payer requires the last worked date to proceed with the claim, as it impacts the patient's eligibility for coverage.
3A billing office received a denial for a surgical procedure claim due to an incomplete last worked date, as noted in the remittance advice.
→ The presence of the N325 remark code signals that the claim cannot be processed until a complete and valid last worked date is provided.
What to Do
- Provide the correct last worked date in the claim resubmission.
- Ensure that the last worked date is complete and valid according to payer guidelines.
- If necessary, obtain the last worked date from the patient or employer to include in the claim.
What to Check
- The patient's employment history documentation for the last worked date.
- Previous communications with the payer regarding required dates.
- The claim submission details to confirm that the last worked date was included and correctly formatted.