N702Remark Code (RARC)Active
N702 Remark Code - Review of Previous Claims
The N702 remark code indicates that the payer's decision regarding the claim is influenced by a review of previously processed claims or claims currently under review for similar services. This remark supplements an adjustment reason code and clarifies that the payer is considering past adjudications in their determination.
How It Relates to the Denial
The N702 remark typically accompanies adjustment reason codes that pertain to payment denials or reductions based on prior claims. This combination signals that the payer evaluated the claim against historical data or ongoing claim reviews.
Common Scenarios
1A provider submitted a claim for a procedure that was previously denied due to medical necessity. The remittance shows an adjustment for the new claim, along with the N702 remark.
→ In this case, the N702 remark suggests that the payer referenced the earlier denial when adjudicating the current claim, indicating a potential pattern in the claims for similar services.
2A facility billed for a set of lab tests, and the remittance returned an adjustment with the N702 code, citing a review of similar claims submitted recently.
→ The presence of the N702 remark implies that the payer is using information from the review of past lab test claims to inform their decision on the new submission.
3A physician's office billed for a follow-up visit after a previous claim for the same type of visit was denied. The remittance includes an adjustment and the N702 remark.
→ Here, the N702 remark indicates that the payer is considering the earlier claim's adjudication when processing the follow-up claim, which may affect the payment outcome.
What to Do
- Review the adjustment reason code that accompanies the N702 remark to understand the specific issue with the claim.
- Consider addressing any issues highlighted in prior claims if they relate to the current claim submission.
- If applicable, gather additional documentation that supports the medical necessity or appropriateness of the service in question.
What to Check
- Check the history of previously adjudicated claims related to the current service to identify patterns or reasons for denials.
- Review the details of the claim adjustment reason code associated with the N702 remark for more context on the payer's decision.
- Consult any documentation or notes from prior claims that may clarify the payer's stance on similar services.