N833Remark Code (RARC)Active
N833 Remark Code - Patient Share Waived Explained
The N833 remark code indicates that the patient’s share of cost has been waived. This means that the provider has agreed not to collect the patient’s portion of the bill, which could be due to a variety of reasons such as financial hardship or contractual agreements.
How It Relates to the Denial
The N833 remark code typically accompanies adjustment reason codes that denote a reduction in the amount billed. This combination signals that the adjustment reflects a decision to not charge the patient for their share of costs, impacting the total amount paid by the payer.
Common Scenarios
1A provider submitted a claim for a surgical procedure with a billed amount of $1,500. The remittance advice shows an adjustment for the patient’s share of cost waived due to financial assistance provided.
→ The N833 remark code indicates that the provider has waived the patient's $300 copayment, resulting in a total payment adjustment reflecting this decision.
2A claim for a routine office visit was submitted, and the remittance indicates an adjustment for the patient’s share of cost waived alongside a reason code for contractual obligation.
→ In this case, the N833 remark code signifies that the provider chose to waive the patient’s $25 copay as part of a promotional offer or contractual agreement with the payer.
3A claim for a specialty medication was billed, and the remittance shows an adjustment for the patient’s share of cost waived, with a reason code indicating a negotiated rate.
→ The N833 remark code reflects that the provider has waived the patient's cost share of $50 as part of a negotiated arrangement with the payer.
What to Do
- Review the adjustment reason code that accompanies the N833 remark for context.
- Confirm if the waiver of the patient share was documented in the patient’s file or billing records.
- Ensure that any financial hardship or contractual agreement justifying the waiver is properly recorded.
What to Check
- The claim adjustment reason code that corresponds with the N833 remark.
- Documentation of the patient’s financial status or any applicable agreements regarding cost waivers.
- The provider's billing policies regarding waiving patient costs, if relevant.