DENIAL CODES

Denial code N267

Remark code N267 indicates an issue with a secondary identifier for the ordering provider, such as missing or invalid details.

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What is Denial Code N267

Remark code N267 indicates that the claim submitted lacks a necessary secondary identifier for the ordering provider, or the information provided is either incomplete or invalid. This secondary identifier could be a specific number or code that is required to process the claim for the healthcare services rendered. The absence or inaccuracy of this information can lead to delays or denials in payment, and it must be addressed for successful claim resolution.

Common Causes of RARC N267

Common causes of code N267 are:

1. The ordering provider's secondary identifier, such as a state license number or unique provider identification number (UPIN), is not included on the claim.

2. The secondary identifier provided is incorrect or does not match the records in the payer's system.

3. The claim form has been filled out improperly, with the secondary identifier either missing or not entered in the correct field.

4. The ordering provider's information has not been updated in the payer's database, leading to a discrepancy between the identifier submitted and the current records.

5. There is a mismatch between the ordering provider's name and the secondary identifier, possibly due to a clerical error or a change in the provider's details that has not been communicated to the payer.

6. The claim was submitted with an outdated or retired secondary identifier that is no longer recognized by the payer.

7. The secondary identifier is incomplete, with some required digits or characters missing from the submission.

Ways to Mitigate Denial Code N267

Ways to mitigate code N267 include implementing a thorough verification process for all provider information before claim submission. This could involve double-checking the ordering provider's National Provider Identifier (NPI) and any other required secondary identifiers to ensure they are current and accurately recorded in the billing system. Training staff to recognize and correctly input these identifiers, as well as utilizing automated software that flags missing or invalid data, can also help prevent this code from arising. Regular audits of provider information within the electronic health record (EHR) system can catch errors or omissions before claims are sent to the payer. Additionally, maintaining open communication with ordering providers to quickly resolve any discrepancies in their identifiers is crucial for avoiding this remark code.

How to Address Denial Code N267

The steps to address code N267 involve verifying and updating the ordering provider's information. Begin by reviewing the claim to ensure that the ordering provider's National Provider Identifier (NPI) and any other required secondary identifiers are present and accurately listed. If the identifiers are missing or incorrect, obtain the correct information from the provider's office or from the credentialing records. Update the claim with the valid identifiers and resubmit it to the payer. Additionally, implement a process to routinely verify provider identifiers prior to claim submission to minimize future occurrences of this error.

CARCs Associated to RARC N267

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