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Last Modified: 8/28/2018 Location: FL, PR, USVI Business: Part B

N264 informational message FAQ

Q: I received remittance advice remark code (RARC) “N264” on my remittance advice; what does it mean? How can I avoid this code in the future?
A: If you receive an N264: Missing/incomplete/invalid ordering provider name RARC, the name submitted on the claim does not match the exact name included in the Provider Enrollment, Chain and Ownership System (PECOS) or in First Coast Service Options’ (First Coast’s) internal provider file.
If you received this RARC during Phase 1, it was considered an informational message. If there were no other issues with the claim, it continued to process through to adjudication.
However, if you receive this RARC during Phase 2, the billing provider will not be paid for the items or services that were furnished based upon an order or referral.
To avoid this error -- N264: Missing/incomplete/invalid ordering provider name -- the billing provider should:
Make sure that the names in the claim are submitted in the appropriate fields on the claim form.
Do not include “MD,” “DO,” “Dr.,” or “PhD” in the name field.
If the name is a hyphenated last name, it must be submitted exactly as it is in Provider Enrollment, Chain and Ownership System (PECOS) or in First Coast’s internal provider file on the claims system.
Do not use middle names or initials.
When submitting paper claims, use the following format for names in “block 17”: “First name, last name.”
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Source: SE1011, CR 6417
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