N690Remark Code (RARC)ActiveInformational Alert
Effective 11/01/2013 · Updated 03/14/2014

N690 Remark Code - Appeal Reversal Notification

The N690 remark code indicates that the reversal of a claim is due to an appeal submitted by the provider. This alert serves as a notification to billers that the claim has been reversed as a result of the appeal process, without indicating any denial or adjustment specifics.

What This Alert Tells You

The N690 remark is informational and is typically associated with claim reversals. It does not accompany a specific adjustment or denial reason code, but rather informs the provider that their appeal has led to the reversal of a previously processed claim.

Common Scenarios

1A provider submitted an appeal regarding a previously denied claim for a surgical procedure. Upon processing the appeal, the payer issued a reversal of the original claim.
→ The appearance of the N690 remark indicates that the reversal is directly linked to the provider's successful appeal, confirming that the payer acknowledges the appeal's influence on the claim status.
2After receiving a payment for a patient visit, the provider appealed the payment amount. The payer then reversed the original payment based on the appeal submitted by the provider.
→ In this case, the N690 remark signifies that the reversal of the payment is a result of the appeal process initiated by the provider, indicating a change in the claim's status.
3A claim for diagnostic testing was initially denied. The provider appealed the decision, and the payer subsequently reversed the denial, issuing a new remittance advice.
→ The N690 remark confirms that the reversal of the denial was prompted by the provider's appeal, providing clarity on the claim's updated status.

What to Do

  1. Do not take any action based on the N690 remark as it is informational only. Expect to see this alert when a claim is reversed due to an appeal.

What to Check

  • Review the appeal documentation submitted by the provider to understand the basis for the reversal.
  • Check the claim history to confirm the details of the original claim and the subsequent reversal.
  • Look at the remittance advice for any additional notes related to the appeal process.