N381Remark Code (RARC)ActiveInformational Alert
N381 Remark Code - Contractual Agreement Alert
The N381 remark code is an alert indicating that the provider should refer to their contractual agreement for specific restrictions or billing/payment information regarding the charges billed. It serves as a reminder that certain terms outlined in the contract may affect how these charges are handled by the payer.
What This Alert Tells You
As an informational alert, the N381 remark code typically appears alongside other reason codes but does not indicate a specific adjustment or denial. It highlights the importance of reviewing the contractual terms to understand any billing nuances.
Common Scenarios
1A provider submits a claim for a surgical procedure and receives the N381 remark code on the remittance advice.
→ The N381 alert suggests that the provider should check their contract with the payer for any specific billing requirements or restrictions related to that surgical procedure.
2An outpatient facility bills for a series of diagnostic tests and sees the N381 code in the remittance response.
→ The presence of the N381 alert indicates that the facility should consult their contractual agreement to understand any limitations or payment terms associated with those diagnostic tests.
3A physician practice receives the N381 remark while billing for a consultation service.
→ The N381 alert advises the practice to review their contract with the payer to clarify any restrictions or billing processes that may apply to the consultation service.
What to Do
- Consult the contractual agreement with the payer for specific billing/payment terms related to these charges.
- Review any restrictions outlined in the contract that may affect reimbursement for the billed services.
What to Check
- The signed provider contract with the payer for relevant billing/payment information.
- Any amendments or addendums to the contract that may include updated restrictions or agreements.
- The remittance advice for details on the services that prompted the N381 alert.