DENIAL CODES

Denial code N517

Remark code N517 is an instruction to resubmit a new claim with the specified additional information for processing.

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What is Denial Code N517

Remark code N517 indicates that the healthcare provider needs to submit a new claim along with the additional information that was requested by the payer.

Common Causes of RARC N517

Common causes of code N517 are incomplete or missing information on the original claim submission, failure to include necessary documentation or attachments, incorrect patient identification details, and errors in coding or billing information that necessitate a complete resubmission of the claim with the corrected or requested information.

Ways to Mitigate Denial Code N517

Ways to mitigate code N517 include ensuring that all required information is complete and accurate before the initial submission of the claim. This involves double-checking patient demographics, insurance details, and service codes. Implementing a pre-submission verification process, where claims are reviewed by a dedicated team or software for completeness and accuracy, can significantly reduce the occurrence of this code. Additionally, staying updated with payer-specific requirements and regularly training staff on these specifications can help prevent the need for resubmission due to missing information.

How to Address Denial Code N517

The steps to address code N517 involve carefully reviewing the initial claim to identify the missing or incorrect information that prompted the remark code. Once identified, gather the necessary documentation or correct the information that was lacking or erroneous. This may include verifying patient details, diagnosis codes, procedure codes, or any specific documentation that was requested but not initially provided. Prepare a new claim ensuring all requested information is accurately included. Double-check the claim for completeness and accuracy before resubmission to avoid further delays or denials. Submit the new claim through the appropriate channel as per the payer's guidelines, and monitor the claim's status closely to ensure it is processed efficiently.

CARCs Associated to RARC N517

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