N695Remark Code (RARC)ActiveInformational Alert
N695 Remark Code - Patient Financial Responsibility Alert
The N695 remark code indicates that a reversal has occurred because the initial adjudication contained incorrect patient financial responsibility information. This alert serves to inform billers of the reason behind the reversal without indicating a specific adjustment or denial action required.
What This Alert Tells You
As an informational alert, N695 does not accompany any adjustment or denial reason codes. It simply indicates that there was an issue with the patient financial responsibility information that led to a reversal of a previously processed claim.
Common Scenarios
1A claim for a surgical procedure was initially processed, but later an N695 alert appeared on the remittance advice after a review of patient responsibility.
→ In this case, the N695 alert is signaling that the financial responsibility details for the patient were incorrect during the original claim processing, prompting the payer to reverse the previous decision.
2A follow-up claim for a diagnostic test was submitted, and the remittance advice returned with an N695 alert indicating a reversal of payment.
→ This suggests that the information regarding the patient's financial responsibility was inaccurately reported in the initial adjudication, leading to the reversal noted by the N695 alert.
3An outpatient visit claim was reversed, and the remittance included the N695 alert, indicating an issue with patient financial details.
→ The N695 alert highlights that the reversal is a result of incorrect patient financial responsibility data provided during the initial claim review.
What to Do
- Do not take any action to resubmit the claim based solely on this alert.
- Ensure that the patient financial responsibility information is accurate for future submissions.
What to Check
- Review the patient financial responsibility details submitted with the initial claim.
- Check the claim history for any previous adjustments or changes related to patient financial responsibility.
- Consult the patient's billing record to confirm the correct financial responsibility information.