N179 remark code

Remittance advice remark code N179. Remark codes add detail to the reason code on the same claim line.

Waiting on information from the member

Unofficial reference. This is our own plain-English explanation, not the official code text. Payer rules differ. Verify with the payer and the official X12 code list. AlphaPrefix is not affiliated with X12, CMS or any payer. Data last updated .

What N179 means

The payer is holding the charges until the patient or subscriber answers its request, then it will take another look.

N179 means the hold is on the member's side, not yours. Common examples are an accident questionnaire, other insurance details or a student status form. The claim stays denied or pended until the member responds.

It usually pairs with reason code 227 (patient did not send requested info).

Common causes

What to do next

  1. Contact the patient and ask them to answer the payer's request.
  2. Give the patient the payer's phone number or form so they can respond directly.
  3. Set a follow-up date to check whether the claim was reprocessed after the member responded.
  4. Note the account so statements are held while the payer waits on the member.

Related codes

Source

Official wording: X12 Remittance Advice Remark Codes list. The explanation on this page is our own plain-English wording, not the X12 text.

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