N675Remark Code (RARC)Active
N675 Remark Code - Additional Information Required
The N675 remark code indicates that additional information is required from the injured party to process the claim further. This remark supplements an existing claim adjustment reason code, suggesting that the payer needs more details related to the injury or the circumstances surrounding it before they can finalize the claim.
How It Relates to the Denial
The N675 remark code typically accompanies claim adjustment reason codes that indicate a denial or pending status due to incomplete information. The combination signals that the claim cannot be processed until the requested details from the injured party are received.
Common Scenarios
1A claim for physical therapy services was submitted following a workplace injury, but the remittance shows an adjustment indicating the claim is denied due to missing information.
→ The N675 remark code suggests that the payer requires specific information from the injured party about the accident or treatment details that were not included in the initial submission.
2An orthopedic surgery claim was denied, and the remittance includes an adjustment reason code for insufficient documentation along with the N675 remark code.
→ Here, the N675 remark code clarifies that the payer needs further details from the injured party to address the documentation issue before reconsidering the claim.
3A claim for a diagnostic imaging service related to an auto accident was returned with an adjustment reason code for lack of support, along with the N675 remark code.
→ The presence of the N675 indicates that the payer is awaiting additional information from the injured party related to the accident to proceed with claim processing.
What to Do
- Contact the injured party to gather the required information.
- Ensure that any additional details requested by the payer are complete and accurate.
- Submit the gathered information to the payer as instructed.
What to Check
- Review the claim adjustment reason code for specifics on what information is needed.
- Check any available correspondence from the payer regarding the claim status.
- Verify the details of the injury and treatment documented in the claim submission.