N797Remark Code (RARC)Active
N797 Remark Code - Missing/Invalid Date Qualifier
The N797 remark code indicates that there is a missing, incomplete, or invalid date qualifier associated with the claim. This remark supplements a Claim Adjustment Reason Code by specifying the issue with the date qualifier that needs to be addressed for proper processing.
How It Relates to the Denial
The N797 remark code typically appears alongside adjustment reason codes that indicate a claim has been denied or adjusted due to issues related to date qualifiers. The combination signals that the claim cannot be processed correctly without the correct date information.
Common Scenarios
1A provider submitted a claim for a service rendered on a specific date, but the remittance response included a denial due to an invalid date qualifier.
→ The N797 remark code suggests that the payer found the date qualifier on the claim submission to be missing or incorrect, which prevented proper processing of the claim.
2A facility billed for a series of services with multiple dates, and the remittance advised that one of the dates was incomplete, leading to an adjustment based on that date.
→ In this case, the N797 remark code is pointing out that one or more date qualifiers were not accurately provided, which is necessary for the payer to evaluate the claim properly.
3A claim was submitted with a date qualifier that does not match the payer's expected format, resulting in a partial payment and a remark code indicating the issue.
→ The N797 remark code indicates that the payer could not process the claim fully because the date qualifier did not meet their standards, necessitating a review of the submitted information.
What to Do
- Review the claim submission for any missing or incorrectly formatted date qualifiers.
- Correct any inaccuracies in the date qualifiers and resubmit the claim if necessary.
- Ensure that all dates associated with the claim are complete and valid according to payer specifications.
What to Check
- The original claim submission to verify the date qualifiers used.
- The payer's guidelines on acceptable date formats and qualifiers.
- Any notes or documentation from the payer regarding the claim's adjustment or denial.