N698Remark Code (RARC)ActiveInformational Alert
N698 Remark Code - Coverage Loss Due to Premium Non-Payment
The N698 remark code indicates that a claim reversal occurred because the health insurance premiums were not paid by the end of the grace period, leading to a loss of coverage. This alert informs the biller of the reason behind the claim reversal, specifically related to non-payment of premiums.
What This Alert Tells You
The N698 remark code is informational and is used in conjunction with claim or service reversals. It does not indicate an adjustment or denial but rather serves as a notification regarding the status of coverage due to premium payment issues.
Common Scenarios
1A provider submitted a claim for a service rendered to a patient, but the claim was reversed with the N698 remark code appearing on the remittance advice.
→ The N698 remark indicates that the claim was reversed because the patient's health insurance premiums were not paid, resulting in the loss of coverage.
2A patient received multiple services, and the provider receives an 835 that includes the N698 remark code for one of the claims.
→ This means that the specific claim was reversed due to the patient's failure to pay health insurance premiums by the grace period's end, affecting their coverage.
3A provider is reviewing their remittance advice and notices several claims have the N698 alert attached, indicating reversals.
→ These reversals are all due to non-payment of premiums, signaling that the patient's coverage has lapsed and affecting the provider's ability to collect payment.
What to Do
- Do not resubmit the reversed claims, as the alert indicates a loss of coverage due to non-payment of premiums.
- Consider contacting the patient to discuss their premium payment status and coverage options.
What to Check
- Review the patient's insurance premium payment history to confirm any lapses in payment.
- Check the eligibility verification response for the patient's coverage status around the time of service.
- Examine any correspondence from the payer regarding premium payments or coverage status that may clarify the situation.