Remark code N252 indicates that the claim submitted lacks a valid attending provider's name, or the information provided is incomplete or incorrect. This means that the healthcare provider responsible for the patient's care at the time of the service has not been properly identified on the claim form, which is necessary for processing and reimbursement purposes. To resolve this issue, the healthcare provider must review the claim, correct the attending provider's information, and resubmit it for payment consideration.
Common causes of code N252 are incorrect or missing entries for the attending provider's name on the claim form, submission of a claim without the attending provider's full name, or the use of non-standard abbreviations or initials that do not match the provider's name as registered with the payer. Additionally, this code may be triggered if the provider's name is not properly linked to their National Provider Identifier (NPI) in the payer's system.
Ways to mitigate code N252 include implementing a comprehensive verification process for all claims submissions. This process should ensure that the attending provider's name is accurately captured and recorded in the electronic health record (EHR) system. Staff should be trained to double-check the provider information against the National Provider Identifier (NPI) database for consistency. Additionally, utilizing claim scrubbing software can help identify and correct any errors in provider information before claims are submitted to the payer. Regular audits of claim forms can also help identify patterns of missing or incorrect information, allowing for targeted training or process improvements to prevent future occurrences of this code.
The steps to address code N252 involve verifying and updating the attending provider's information in the claim submission. First, review the original claim to identify any inaccuracies or omissions in the attending provider's name. Ensure that the provider's full name is correctly spelled and matches the name on file with the payer. If the provider's name was missing, add the complete and accurate name to the claim. If the information was incomplete or invalid, correct the details accordingly. Once the necessary corrections are made, resubmit the claim to the payer for processing. It's also advisable to check your practice management system to ensure that the provider's information is up-to-date to prevent future occurrences of this code.