N613Remark Code (RARC)ActiveInformational Alert
N613 Remark Code - Provider Enrollment Alert
The N613 remark code is an alert indicating that the claim was paid, but there is an issue with the ordering provider's enrollment record. It advises the biller to verify the accuracy of the ordering provider information submitted with the claim and to instruct the ordering provider to update their enrollment record to prevent future payment issues.
What This Alert Tells You
The N613 alert is informational and is not tied to any specific adjustment or denial. It serves as a warning that unless the ordering provider's information is corrected, future claims with that provider may not be paid.
Common Scenarios
1A claim for a diagnostic test was submitted with an ordering provider's information, and it was paid. However, the N613 remark code appeared on the remittance advice.
→ This indicates that while the current claim was paid, the ordering provider's enrollment record needs to be updated to ensure future claims are not denied.
2A surgery claim was processed with an ordering provider, and the remittance advice included the N613 code, indicating a successful payment but with a caution.
→ The remark suggests that even though this claim was paid, the accuracy of the ordering provider's information should be confirmed to avoid payment issues on subsequent claims.
3A follow-up claim for a patient was paid, but the N613 alert was noted, indicating potential future issues with the ordering provider's credentials.
→ This alert signals that the billing office should take action regarding the ordering provider's enrollment to avoid complications in future billing.
What to Do
- Verify the ordering provider information submitted on the claim for accuracy.
- Contact the ordering provider and instruct them to update their enrollment record.
What to Check
- The claim submission details for the ordering provider's information.
- The ordering provider's enrollment records to confirm their current status.
- Any communications from the ordering provider regarding their enrollment status.