The November 2005 through February 2006 updates have been posted.
New Remark Codes
New Code |
Current Narrative |
N365 |
This procedure code is not payable. It is for reporting/information purposes only. |
N366 |
Requested information not provided. The claim will be reopened if the information previously requested is submitted within one year after the date of this denial notice. |
N367 |
The claim information has been forwarded to a Health Savings Account processor for review. |
N368 |
You must appeal the determination of the previously adjudicated claim. |
N369 |
Alert: Although this claim has been processed, it is deficient according to state legislation/regulation. |
New Reason Codes
New Code |
Current Narrative |
As of |
193 |
Original payment decision is being maintained. This claim was processed properly the first time. |
February 2006 |
194 |
Payment adjusted when anesthesia is performed by the operating physician, the assistant surgeon or the attending physician. |
February 2006 |
195 |
Payment denied/reduced due to a refund issued to an erroneous priority payer for this claim/service. |
February 2006 |