N663Remark Code (RARC)Active
N663 Remark Code - Adjusted Based on Agreed Amount
The N663 remark code indicates that the claim was adjusted based on an agreed amount between the provider and the payer. This typically means that the billed amount was modified to reflect a pre-established agreement regarding pricing or reimbursement for the services rendered.
How It Relates to the Denial
The N663 remark code usually accompanies a Claim Adjustment Reason Code that explains the basis for the adjustment. This combination signals that the adjustment is not arbitrary, but rather reflects a mutual agreement on pricing terms.
Common Scenarios
1A provider submits a claim for a surgical procedure with a billed amount of $5,000, but the remittance shows an adjustment to $4,000 with the N663 remark code.
→ In this case, the N663 remark code clarifies that the $1,000 reduction was based on a previously agreed amount between the provider and the payer.
2A claim for physical therapy services is submitted for $200, but the payer adjusts the payment to $150, indicating the N663 remark code on the remittance advice.
→ Here, the N663 remark code suggests that the adjustment to $150 reflects an agreed-upon rate for those services, rather than a denial or other reason.
3A hospital bills for an outpatient service totaling $1,000, but the payment remittance shows $800 with N663 attached.
→ The N663 remark code in this scenario indicates that the $200 adjustment is due to a pre-negotiated rate for the outpatient service, which both parties have accepted.
What to Do
- Review the adjustment details provided in the accompanying Claim Adjustment Reason Code for context on the agreed amount.
- Confirm the terms of the agreement with the payer to ensure compliance with the adjusted amount.
- If necessary, update your billing practices to align with the agreed pricing.
What to Check
- The original claim details to verify the billed amount and services rendered.
- The payer agreement documentation to confirm the negotiated rates.
- The remittance advice for the accompanying Claim Adjustment Reason Code that provides further context for the N663 remark.