N817Remark Code (RARC)ActiveInformational Alert
N817 Remark Code - Informational Alert for Laboratories
The N817 remark code serves as an alert indicating that applicable laboratories must collect and report private payor data to CMS. This reporting requirement was active from January 1, 2020, to March 31, 2020, emphasizing the importance of compliance during this timeframe.
What This Alert Tells You
As an informational alert, the N817 remark does not accompany any specific adjustments or denials. It is meant to ensure that laboratories are aware of their obligation to report certain data to CMS, without affecting claim payments directly.
Common Scenarios
1A laboratory received an 835 remittance for various lab tests and noticed the N817 alert included in the report.
→ In this case, the N817 alert is reminding the laboratory of their responsibility to report private payor data to CMS for the specified period, reinforcing compliance obligations.
2A billing specialist is reviewing an 835 remittance and sees the N817 alert alongside multiple laboratory service claims.
→ This alert indicates that the laboratory needs to be aware of the reporting requirements for private payor data, ensuring they comply with CMS regulations, but it does not indicate any issues with the claims themselves.
3After submitting claims for laboratory services, a facility checks the 835 and finds the N817 alert present in the remittance advice.
→ The N817 alert is a notification for the facility that they must have collected and reported the required private payor data to CMS during the specified period, rather than a denial or adjustment notice.
What to Do
- No action is required regarding claim resubmission or correction due to this alert.
- Ensure that your laboratory has complied with the private payor data reporting requirements to CMS for the specified period.
What to Check
- Review internal processes for collecting and reporting private payor data to CMS.
- Check compliance with the reporting requirements set forth by CMS between January 1, 2020, and March 31, 2020.
- Verify that all applicable laboratory services have adhered to the alert's guidelines.