N747Remark Code (RARC)Active
N747 Remark Code - Misdirected Claim/Service Instructions
The N747 remark code indicates that the claim or service was misdirected to the wrong payer or plan. It instructs the biller to submit the claim to the appropriate payer or plan based on the patient's residence.
How It Relates to the Denial
The N747 remark code typically accompanies a Claim Adjustment Reason Code that indicates a denial due to misdirection. The combination signals that the claim was not processed because it was sent to the incorrect payer.
Common Scenarios
1A provider submits a claim for a patient who recently moved to a new state but sends it to the previous payer.
→ The N747 remark code suggests that the claim needs to be redirected to the payer associated with the patient's current residence.
2A claim for a service provided is denied because it was sent to a plan that does not cover the patient’s current address.
→ The N747 remark code indicates that this claim should be resubmitted to the correct payer that covers the patient's current location.
3A patient with dual insurance has a claim for a service denied by the primary payer because it was sent to the wrong insurance plan.
→ The presence of the N747 remark code means the claim should be sent to the payer that corresponds with the patient's residence.
What to Do
- Resubmit the claim to the correct payer or plan based on the patient's current residency.
- Verify the patient's address and insurance coverage before resubmission.
What to Check
- The patient's current address to determine the appropriate payer.
- The eligibility response to confirm coverage with the correct plan.
- The claim submission records to ensure the claim was sent to the right payer initially.