N649Remark Code (RARC)Active
N649 Remark Code - Payment Based on Invoice
The N649 remark code indicates that the payment made was based on an invoice. This means the payer has processed the claim in relation to a submitted invoice rather than the billed amount, which can affect the payment total.
How It Relates to the Denial
The N649 remark code typically accompanies adjustment reason codes that indicate a payment has been made based on the terms of an invoice. This combination signals that the payer's payment methodology is influenced by the invoiced amount rather than the original claim submission.
Common Scenarios
1A provider submitted a claim for a surgical procedure, billing $5,000, but received a payment of $3,500 with the N649 remark code noted.
→ In this case, the N649 remark code signifies that the payment of $3,500 was determined based on an invoice provided, which may have outlined a different amount or payment structure.
2A laboratory billed for a series of tests totaling $1,200, but the remittance statement shows a payment of $900 along with the N649 remark code.
→ Here, the N649 indicates that the payment was calculated based on an invoice, suggesting that the payer referenced a specific invoiced amount rather than the total billed.
3A physical therapy clinic billed for services rendered totaling $1,500, yet received a remittance indicating payment of $1,200 along with the N649 remark code.
→ The N649 remark code in this scenario points to the fact that the payer's payment was influenced by an invoice, which may have adjusted the expected payment.
What to Do
- Review the invoice submitted to ensure it aligns with the payment made by the payer.
- Verify any adjustments that may have been made to the invoiced amount prior to payment.
- Check if there are any additional documentation requirements that the payer may have specified regarding invoice payments.
What to Check
- The invoice submitted for the claim to confirm the billed amounts and terms.
- The remittance advice for any accompanying reason codes that clarify the payment adjustment.
- Any correspondence with the payer regarding invoice payments or adjustments.