N335Remark Code (RARC)Active
N335 Remark Code: Missing/Invalid Referral Date
The N335 remark code indicates that there is a missing, incomplete, or invalid referral date associated with the claim. This remark supplements another adjustment reason code on the remittance, providing additional clarity regarding the denial or adjustment of the claim due to the referral date issue.
How It Relates to the Denial
The N335 remark typically accompanies adjustment reason codes that indicate a denial or reduction in payment due to issues with the referral date. This combination signals that the payer requires a valid referral date to proceed with the claim payment.
Common Scenarios
1A claim for a specialist consultation was submitted, but the remittance response includes a denial for lack of a referral date.
→ The N335 remark suggests that the denial is due to the absence of an appropriate referral date, which is necessary for the claim to be processed.
2A primary care visit to a specialist was billed, and the remittance shows an adjustment with a note about an invalid referral date.
→ The N335 remark indicates that the referral date provided does not meet the payer's requirements, leading to a payment adjustment.
3A claim for physical therapy services was submitted without a referral date, and the remittance includes a denial with an accompanying adjustment reason code.
→ The presence of the N335 remark highlights that the claim was denied due to the missing referral date, which is critical for authorization.
What to Do
- Verify the referral date on the claim submission to ensure it is complete and valid.
- If the referral date is missing, obtain the correct date from the referring provider and resubmit the claim.
- Correct any inaccuracies in the referral date before resubmitting.
What to Check
- The claim submission records to confirm the referral date was included and correctly formatted.
- The referral documentation from the referring provider to ensure the date is valid and complete.
- The payer's guidelines regarding referral requirements to ensure compliance with their policies.