N588Remark Code (RARC)Active
N588 Remark Code - Patient Payment Instructions
The N588 remark code indicates that the patient has specifically instructed that their medical claims or bills are not to be paid. This remark serves as a clarification to the adjustment noted by the accompanying reason code, highlighting the patient's directive against payment for certain services.
How It Relates to the Denial
Typically, the N588 remark code appears alongside adjustment reason codes that indicate a denial or reduction in payment due to patient instructions. This combination signals that the claim adjustment is directly related to the patient's request regarding payment responsibilities.
Common Scenarios
1A patient received treatment for a minor procedure, and the claim was submitted for payment. The remittance advice returned with an adjustment indicating no payment due to patient instructions.
→ In this case, the N588 remark code clarifies that the reason for non-payment is the patient's explicit request for no payment on the submitted claim.
2A claim for a series of physical therapy sessions was denied, and the remittance included an adjustment reason code related to payment denial. The N588 remark was also present on the remittance advice.
→ The presence of the N588 remark indicates that the patient had instructed not to pay for those therapy sessions, which is essential information to understand the denial.
3A hospital billed for a set of diagnostic tests, but the remittance advice showed a reduction in payment and included the N588 remark code.
→ This remark indicates that the patient communicated their wish for the medical claims related to those tests to remain unpaid, which justifies the adjustment noted.
What to Do
- Verify the patient's instructions regarding payment for the services billed.
- Document the patient's request in the patient's file to ensure clarity on future claims submissions.
- Communicate with the patient if there are any questions about their instructions or if they wish to change their payment directive.
What to Check
- The patient's signed consent or directive regarding payment for medical services.
- The claim submission details to ensure they align with the patient's instructions.
- Any prior communications with the patient regarding their payment preferences.