N706Remark Code (RARC)Active
N706 Remark Code - Missing Documentation Explained
The N706 remark code indicates that the claim has been denied or adjusted due to missing documentation. This remark supplements an accompanying reason code by clarifying that specific supporting documents were not provided with the claim submission.
How It Relates to the Denial
The N706 remark typically accompanies adjustment reason codes related to claims that require additional documentation for processing. The combination signifies that the payer needs further evidence to support the billed services before they can proceed with payment or further review.
Common Scenarios
1A provider submitted a claim for a surgical procedure but received a remittance indicating an adjustment due to lack of prior authorization documentation.
→ In this case, the N706 remark suggests that the payer requires the prior authorization documentation that was not included with the claim.
2A physical therapy claim is submitted, but the remittance shows an adjustment for missing documentation regarding the patient's treatment plan.
→ The appearance of N706 indicates that the payer is looking for the treatment plan documentation to validate the services billed.
3A claim for diagnostic imaging was submitted, but the remittance returned with an adjustment indicating missing documentation for medical necessity.
→ Here, the N706 remark points out that the claim cannot be processed without the required documentation proving the medical necessity of the imaging.
What to Do
- Gather the missing documentation specified in the remittance advice.
- Submit the required documents to the payer for reconsideration of the claim.
- Ensure that all necessary supporting documents are included with future submissions to avoid similar issues.
What to Check
- Review the original claim submission for any omitted documents.
- Check the payer's documentation requirements to confirm what is needed for this type of claim.
- Examine the accompanying reason code on the remittance for additional insights into what specific documentation is missing.