N517Remark Code (RARC)Active
N517 Remark Code - Resubmit Claim with Information
The N517 remark code instructs the biller to resubmit a new claim that includes the requested information. This remark supplements an adjustment already indicated by a Claim Adjustment Reason Code on the remittance advice, providing clarity on what is needed to resolve the issue.
How It Relates to the Denial
The N517 remark code typically accompanies adjustment reason codes that indicate missing or incomplete information on the original claim. The combination signals that the payer requires additional details before processing the claim further.
Common Scenarios
1A provider submitted a claim for a diagnostic test but received an adjustment indicating that necessary documentation was missing.
→ The N517 remark code indicates that the payer needs the missing documentation to process the claim, prompting the biller to gather and resubmit the claim with the requested information.
2A claim for a surgical procedure was denied due to lack of pre-authorization, and the remittance includes a reason code for denial along with the N517 remark.
→ In this case, the N517 remark code directs the biller to resubmit the claim with the pre-authorization details that were initially overlooked.
3A claim for a patient's lab work was denied, and the accompanying reason code notes that additional clinical information is required, with the N517 remark appearing on the remittance.
→ The presence of the N517 remark code indicates that the biller must provide the necessary clinical information and resubmit the claim to facilitate processing.
What to Do
- Review the remittance advice for the specific information requested by the payer.
- Prepare a new claim that includes the necessary documentation or details.
- Submit the revised claim to the payer promptly.
What to Check
- The original claim submission for missing information.
- The remittance advice for any specific requests or notes from the payer.
- The relevant clinical documentation or pre-authorization records that may be required.