N74Remark Code (RARC)Active
N74 Remark Code - Resubmit Claims by Month
The N74 remark code indicates that the claim submitted should be resubmitted as multiple claims, with each claim covering services provided in only one calendar month. This suggests that the payer requires a separation of services by month for proper processing and payment.
How It Relates to the Denial
The N74 remark typically accompanies a Claim Adjustment Reason Code that indicates a denial or adjustment due to a billing error related to multiple months of services on a single claim. The combination of the reason code and N74 emphasizes the need for proper claim segmentation by month.
Common Scenarios
1A provider submitted a claim for services spanning from January to March, but the remittance returned indicates a denial due to improper claim submission.
→ The N74 remark signals that the payer expects these services to be split into three separate claims, one for each month, to align with their billing guidelines.
2A clinic billed for a series of physical therapy sessions that took place over several months on a single claim, resulting in an adjustment on the remittance advice.
→ The appearance of N74 suggests that the clinic must resubmit the claim as multiple claims, with each claim limited to services provided within a single calendar month.
3A hospital submitted a comprehensive claim for a patient's treatment that included various services performed over two consecutive months, which was subsequently denied.
→ The N74 remark indicates that the hospital needs to break down the claim into two separate submissions, each reflecting the services performed in one month.
What to Do
- Resubmit the claim as multiple claims, ensuring each claim reflects services provided within a single calendar month.
- Verify that the claims are clearly separated by month to comply with the payer's requirements.
What to Check
- Review the original claim submission to identify the months in which services were provided.
- Look at the payer's billing guidelines for any additional requirements regarding claims submitted for multiple months.
- Check the remittance advice for the accompanying Claim Adjustment Reason Code for further context on the denial or adjustment.