N692Remark Code (RARC)ActiveInformational Alert
N692 Remark Code - Incorrect Rate Alert
The N692 remark code indicates that a claim reversal has occurred due to an incorrect rate applied during the initial adjudication. This alert serves as a notification to the billing office about the reason behind the reversal, but it does not imply any specific action is required regarding the claim itself.
What This Alert Tells You
As an informational alert, the N692 remark code is used in conjunction with claim or service reversals. It provides clarity on why a claim has been reversed without being tied to any specific adjustment or denial reason code.
Common Scenarios
1A provider submitted a claim for a surgical procedure, which was initially processed but later reversed by the payer.
→ The presence of the N692 remark code indicates that the reversal was due to an incorrect rate being applied during the claim's initial adjudication, signaling the need for accurate rate verification.
2A claim for a diagnostic test was denied, and upon review, the payer issued a reversal of the claim with the N692 remark attached.
→ This means that the claim was reversed because the payer identified an incorrect rate used in the initial processing, which should be addressed in future submissions.
3After an audit, a claim for a preventive service was reversed, and the remittance included the N692 code.
→ Here, the N692 remark suggests that the reversal is linked to the application of an incorrect rate, highlighting a need for the billing office to ensure proper rate application moving forward.
What to Do
- Do not resubmit the claim; this is an informational alert only.
- Review the original claim for accuracy in the rate applied.
What to Check
- The initial claim submission to verify the rates used.
- The payer's fee schedule or rate documentation for the service in question.
- Any communication from the payer regarding adjustments or corrections related to the claim.