N600Remark Code (RARC)Active
N600 Remark Code - Fee Schedule Adjustment Explained
The N600 remark code indicates that the payment adjustment made to the claim is based on the applicable fee schedule for the geographic region where the service was provided. This means the billed amount was not fully paid because the payer has applied a regional fee schedule to determine the allowable amount for the services rendered.
How It Relates to the Denial
The N600 remark typically accompanies a Claim Adjustment Reason Code that indicates an adjustment due to fee schedule considerations. Together, they signal that the payment reflects the standard rates set by the payer for the specific location of the service.
Common Scenarios
1A physical therapy session was billed at $150, but the payment received was only $100, accompanied by a reason code indicating an adjustment.
→ The N600 remark suggests that the $100 payment reflects the regional fee schedule, which sets a lower allowable amount than what was billed.
2An outpatient procedure was submitted for $2,000, but the remittance shows a payment of $1,500 and includes a claim adjustment reason code for fee adjustments.
→ The N600 remark explains that the adjustment to $1,500 was made according to the fee schedule applicable to the region where the procedure took place.
3A laboratory test was billed for $300, and the remittance indicates payment of $200 with a reason code related to fee schedule adjustments.
→ The presence of the N600 remark indicates that the $200 payment is the amount allowed based on the fee schedule for that specific geographic area.
What to Do
- Review the claim adjustment reason code that accompanies N600 to understand the specifics of the fee adjustment.
- Confirm that the billed amount aligns with regional fee schedules to ensure compliance with payer policies.
- If necessary, adjust future claims to reflect the applicable fee schedule for the region.
What to Check
- The regional fee schedule to verify the allowable amounts for services rendered.
- The claim adjustment reason code that pairs with N600 for additional context on the adjustment.
- The service location details to ensure correct application of the regional fee schedule.