Remark code N282 indicates that the claim submitted is lacking a necessary secondary identifier for the pay-to provider, or the information provided is either incomplete or invalid. This secondary identifier is essential for the processing of the claim and may refer to a taxonomy code, provider transaction access number (PTAN), or other specific identifiers required by the payer. To resolve this issue, the healthcare provider must review the claim, ensure that the correct secondary identifier is included, and resubmit the claim for reimbursement.
Common causes of code N282 are:
1. The secondary identifier field for the pay-to provider is left blank on the claim submission.
2. Incorrect information is entered as the secondary identifier for the pay-to provider.
3. The submitted secondary identifier does not match the records on file with the payer.
4. The claim form used may not be updated or compliant with current payer requirements for secondary identifiers.
5. The provider's billing system may have auto-populated incorrect data or failed to capture the necessary secondary identifier during claim generation.
6. There may be a mismatch between the provider's information on the National Provider Identifier (NPI) registry and the information submitted on the claim.
7. The payer-specific requirements for secondary identifiers were not adhered to, such as not including a taxonomy code when required.
Ways to mitigate code N282 include implementing a thorough review process for all claims before submission to ensure that the pay-to provider's secondary identifier is present and correctly entered. This can be achieved by:
1. Training billing staff on the importance of including all necessary provider identifiers and the common errors that lead to code N282.
2. Utilizing electronic health record (EHR) systems that automatically check for the presence and validity of provider identifiers during the claim creation process.
3. Establishing a checklist for claim submission that includes verification of the pay-to provider's secondary identifier.
4. Conducting regular audits of claims to identify patterns that may lead to the omission or inaccuracy of secondary identifiers and addressing these systematically.
5. Collaborating with pay-to providers to ensure they provide all necessary identifier information and understand the impact of missing or incorrect data on claim processing.
6. Keeping up-to-date with payer requirements regarding secondary identifiers to prevent rejections due to outdated or incorrect information.
7. Investing in claim scrubbing software that flags missing or invalid information, including secondary identifiers, before claims are submitted to the payer.
The steps to address code N282 involve verifying and updating the provider's information in the billing system. First, review the claim to identify which secondary identifier is missing or incorrect. This could be a taxonomy code, NPI number, or other provider-specific information. Once identified, obtain the correct secondary identifier from the provider's records or by contacting the provider directly. Update the claim with the accurate information and resubmit it to the payer. Ensure that the billing system is also updated to prevent future occurrences of this error. Additionally, it may be beneficial to implement a routine check of provider identifiers within your RCM process to catch such issues proactively.