N618Remark Code (RARC)ActiveInformational Alert
N618 Remark Code - Claim Reprocessing Alert
The N618 remark code indicates that the claim will be automatically reprocessed if the enrollee pays their premiums. This alert serves as a notification and does not require any action from the biller regarding the claim at this time.
What This Alert Tells You
As an informational alert, N618 is not tied to any adjustments or specific reason codes. It simply informs the provider that there is a condition regarding premium payment that could affect the claim status.
Common Scenarios
1A provider submitted a claim for a service rendered to an enrollee, and the remittance advice returned with the N618 remark code.
→ The N618 remark suggests that the claim processing is contingent upon the enrollee's payment of their premiums, signaling that the claim may be eligible for reprocessing if that condition is met.
2A claim for a routine outpatient procedure was submitted, and the provider receives an 835 with the N618 alert.
→ This remark indicates that while the claim is not currently being processed for payment, it is on hold until the enrollee fulfills their premium payment obligations.
3After billing for a patient visit, the provider receives an ERA that includes the N618 remark code.
→ The N618 alert informs the provider that the claim will be re-evaluated automatically, depending on whether the enrollee pays their premiums.
What to Do
- Do not resubmit the claim at this time.
- Monitor the enrollee's premium payment status, as it may impact the claim's future processing.
What to Check
- Check the enrollee's premium payment history to confirm their current status.
- Review the claim details to ensure all other information is correct and complete.
- Confirm that the claim is not subject to any other adjustments that might affect its processing.