N347Remark Code (RARC)Active
N347 Remark Code - Duplicate Service Payment Explained
N347 indicates that the claim cannot be paid because another provider has already received payment for the same referred or purchased service. This remark serves as clarification for an adjustment made by a Claim Adjustment Reason Code, highlighting that the service in question has already been compensated.
How It Relates to the Denial
The N347 remark typically accompanies adjustment reason codes related to duplicate billing or services rendered by multiple providers. Together, they signal that the payer has processed a claim for the same service, preventing payment to the current provider.
Common Scenarios
1A provider submits a claim for a consultation service that was referred to them, but the remittance shows N347.
→ This indicates that a payment for the consultation has already been made to the referring provider, so the current claim cannot be reimbursed.
2A facility bills for a diagnostic test that was previously ordered by a specialist, and the remittance includes N347 alongside a reason code for duplicate service.
→ The N347 remark clarifies that the payment for this diagnostic test has already been issued to the specialist, thus denying payment to the facility.
3A claim is submitted for a purchased service, such as a surgical procedure, but the remittance response shows N347 after a prior claim for the same procedure was processed.
→ The remark N347 indicates that the claim is denied because payment for this procedure has already been made to a different provider.
What to Do
- Review the remittance for any previous payments made for the same service.
- Consider reaching out to the referring provider to confirm payment details and verify if a claim was submitted on their end.
- If applicable, check if the patient had multiple visits or services that might overlap with the billed service.
What to Check
- The claim history for any previous payments related to the same service.
- The adjustment reason code accompanying N347 for further context.
- Communication records with the referring provider regarding the service in question.