N653Remark Code (RARC)Active
N653 Remark Code - Date of Injury Discrepancy
The N653 remark code indicates a discrepancy between the date of injury and the reported date of loss on the claim. The payer is signaling that these two dates do not align, which may affect the processing of the claim or the determination of benefits.
How It Relates to the Denial
The N653 remark typically accompanies a claim adjustment reason code that reflects a denial or reduction based on the date-related discrepancy. This combination suggests that the payer requires clarification or correction regarding the dates reported on the claim.
Common Scenarios
1A provider submits a claim for services related to a work-related injury, reporting a date of loss of 01/10/2023, but the payer notes an injury date of 12/15/2022.
→ The N653 remark indicates that the injury date reported does not match the date of loss on the claim, prompting the provider to review and possibly amend the dates.
2A claim for physical therapy is submitted with the date of injury listed as 02/05/2023, while the payer returns a remittance indicating the date of loss as 03/01/2023.
→ With the N653 remark present, the payer is highlighting that the date of injury does not align with the reported date of loss, which may necessitate further investigation or correction.
3An auto accident claim is filed with an injury date of 04/20/2023, but the payer shows a different date of loss as 05/01/2023 on the remittance advice.
→ The presence of the N653 remark indicates that the dates do not match, suggesting the need for the provider to verify the accuracy of the dates submitted.
What to Do
- Verify the reported date of injury against the payer's records.
- Correct any discrepancies between the date of injury and the date of loss on the claim prior to resubmission.
- If necessary, provide documentation that supports the correct date of injury.
What to Check
- Claim submission records for the reported date of injury.
- Payer remittance advice for the specified date of loss.
- Any related documentation that supports the date of injury claim.