N788Remark Code (RARC)ActiveInformational Alert
N788 Remark Code: Missing Information Alert
The N788 remark code indicates that the third-party administrator or review organization did not receive the necessary information to process a claim. This alert serves as a notification rather than indicating a denial or adjustment, highlighting a potential gap in communication or documentation.
What This Alert Tells You
As an alert remark code, N788 typically appears in remittance advice without being associated with a specific adjustment or denial reason code. It signals that additional information is needed for processing but does not affect claim payment directly.
Common Scenarios
1A provider submitted a claim for a surgical procedure but received an 835 with the N788 remark code indicating missing information.
→ This suggests that the review organization requires more details about the procedure, such as operative reports or additional documentation, to proceed with the review.
2A billing office receives an N788 remark after submitting a prior authorization request that was incomplete.
→ The remark indicates that the authorization request lacked necessary information, prompting the need to review what documentation was submitted and what is missing.
3A facility bills for a series of diagnostic tests but gets an N788 alert in the remittance advice.
→ This alert points out that essential information, like test results or justifications for the tests, was not provided to the review organization, which may delay processing.
What to Do
- Review internal documentation processes to ensure all required information is submitted with claims.
- Contact the third-party administrator or review organization for clarification on what specific information is missing.
- Ensure that all necessary records are collected and submitted for future claims to prevent similar alerts.
What to Check
- The original claim submission to verify what information was included.
- Any correspondence from the third-party administrator regarding missing documentation.
- The payer's requirements for the specific service billed to identify necessary information that may have been overlooked.