N938Remark Code (RARC)ActiveInformational Alert
N938 Remark Code - Claim Auto-Reprocessing Alert
The N938 remark code serves as an alert indicating that the claim will be automatically reprocessed by the payer. It instructs the biller not to resubmit the claim, as doing so is unnecessary and could lead to confusion in processing.
What This Alert Tells You
As an informational remark, the N938 code is not associated with any specific adjustment or denial reason code. It simply informs the biller about the claim's status and upcoming processing actions.
Common Scenarios
1A provider submitted a claim for a routine office visit, and the remittance advice returned with the N938 alert.
→ In this case, the N938 alert means the claim is still under consideration and will be reprocessed automatically, so no further action is needed from the provider.
2A claim for a surgical procedure was submitted, and the 835 remittance included the N938 remark code.
→ The N938 alert indicates that the payer will handle the claim's processing without requiring any resubmission, which helps prevent duplicate claims.
3After submitting a claim for diagnostic tests, the billing office received the N938 alert on the remittance advice.
→ The presence of the N938 remark code signifies that the claim is in line for automatic reprocessing, eliminating the need for the billing office to take additional steps.
What to Do
- Do not resubmit the claim that has the N938 alert.
- Monitor the claim status for updates in future remittance advices.
What to Check
- Review the original claim submission for accuracy in coding and documentation.
- Check the remittance advice for any additional notes or related alerts.
- Keep track of the claim's processing timeline in your billing system.