N812Remark Code (RARC)Active
N812 Remark Code - Service Date Span Exceeds 18 Months
The N812 remark code indicates that the date range for the services billed cannot exceed 18 months. This remark supplements the accompanying reason code by clarifying that the billed services' start and end dates are not compliant with the allowed timeframe set by the payer.
How It Relates to the Denial
Typically, N812 accompanies reason codes related to claim adjustments where the service dates are disputed. This combination signals that the claim is being denied or adjusted due to the service duration exceeding the specified 18-month limit.
Common Scenarios
1A provider submitted a claim for physical therapy services with a start date of January 1, 2017, and an end date of May 1, 2019. The claim returned with the N812 remark code.
→ In this case, the N812 remark indicates that the billed service dates exceed the maximum allowable 18-month span, leading to a denial or adjustment.
2A claim for a series of outpatient procedures was billed with a start date of February 15, 2020, and an end date of September 30, 2021. The remittance included the N812 remark code.
→ Here, the N812 remark suggests that the service dates fall outside the permissible range, requiring a review of the dates for compliance.
3A claim for home health services was submitted with a service period from March 1, 2019, to August 15, 2020. The remittance advice showed the N812 remark code.
→ This scenario indicates that the service dates exceed the 18-month limit, as highlighted by the N812 remark, leading to potential adjustments or denials.
What to Do
- Review the service dates on the claim to ensure they do not exceed the 18-month limit.
- If the service dates are correct, consider resubmitting with corrected dates that comply with the 18-month timeframe.
What to Check
- Verify the billed service dates in the claim submission.
- Check the payer's policy regarding the maximum allowable service duration.
- Review any previous correspondence regarding service date compliance.