Denial code N598

Remark code N598 is an indicator that the patient's health care policy is the primary coverage for billing purposes.

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What is Denial Code N598

Remark code N598 indicates that health care policy coverage is primary.

Common Causes of RARC N598

Common causes of code N598 are incorrect patient insurance information on file, failure to update insurance changes, billing secondary insurance before primary, and miscommunication between healthcare providers and insurance carriers regarding the primary payer.

Ways to Mitigate Denial Code N598

Ways to mitigate code N598 include ensuring that patient coverage information is accurately verified and updated in the system before submitting claims. Implement a robust verification process that includes contacting the insurance provider to confirm the current status of the patient's coverage and whether the policy is primary or secondary. Additionally, train staff to ask the right questions regarding other possible coverages during patient intake and registration. Utilize technology solutions that can automate the verification process and flag potential issues with coverage details before claims submission. Regularly review and audit claims that have been rejected or denied due to coverage issues to identify patterns or common errors that can be addressed proactively.

How to Address Denial Code N598

The steps to address code N598 involve verifying the patient's insurance information to ensure that the correct primary payer has been billed. This includes confirming the patient's coverage details, policy numbers, and the order of benefits if the patient has multiple insurance plans. Next, re-submit the claim to the correct primary insurance provider with the updated or verified information. If the claim was incorrectly sent to a secondary payer first, coordinate with both insurance companies to redirect the claim appropriately. Additionally, document all communications and changes made during this process to support any future disputes or clarifications. Finally, educate the patient about the importance of providing accurate and up-to-date insurance information to prevent similar issues in the future.

CARCs Associated to RARC N598

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