Remark Code
224
Remark Code
RA835: N30
OA — Other Adjustments
Remark Code 224 — PATIENT IDENTIFICATION COMPROMISED BY IDENTITY THEFT. IDENTITY VERIFICATION REQUIRED FOR PROCESSING THIS AND FUTURE CLAIMS.
Official Description
PATIENT IDENTIFICATION COMPROMISED BY IDENTITY THEFT. IDENTITY VERIFICATION REQUIRED FOR PROCESSING THIS AND FUTURE CLAIMS.
🗂️ RA835 Mapping & EDI Details
The table below shows how Remark Code 224 maps to the 835 Healthcare Claim Payment/Advice transaction.
| Field | Value |
|---|---|
| Remark Code | 224 |
| Remark Description | PATIENT IDENTIFICATION COMPROMISED BY IDENTITY THEFT. IDENTITY VERIFICATION REQUIRED FOR PROCESSING THIS AND FUTURE CLAIMS. |
| RA835 Remark Code | N30 |
| RA835 Remark Description | Patient ineligible for this service. |
| Adjustment Group Code | OA OA Other adjustments |
| Adjustment Reason Code | 224 |
| Adjustment Reason Description | Patient identification compromised by identity theft. Identity verification required for processing this and future claims. |
⚠️ Common Causes
Remark Code 224 typically appears on an Explanation of Benefits (EOB) or remittance advice for the following reasons:
- 1The submitted diagnosis code is not consistent with the provider's specialty or type.
- 2Missing, incomplete, or invalid secondary/other diagnosis codes on the claim.
- 3The procedure billed does not align with the diagnosis codes provided.
- 4Incorrect or outdated ICD code used for the given service date.
- 5Payer policy requires additional documentation supporting the diagnosis.
✅ Resolution Steps
Follow these steps to resolve a claim denied or adjusted with Remark Code 224:
- 1Review the original claim and verify all diagnosis codes are accurate and current (ICD-10-CM).
- 2Confirm the diagnosis is appropriate for your provider type and specialty.
- 3Check for any missing or incomplete secondary diagnosis fields and resubmit corrected data.
- 4Consult the 835 Healthcare Policy Identification Segment (loop 2110 Service Payment Information REF) if present for payer-specific guidance.
- 5If the denial appears incorrect, gather supporting clinical documentation and file an appeal with the payer within the timely filing window.
- 6Contact the payer's provider relations line for clarification if the reason remains unclear after review.
🏷️ Adjustment Group: OA
This remark code is associated with adjustment group code OA — Other Adjustments.
CO
Contractual
Payer contractual write-off; not billable to patient.
PR
Patient Resp.
Deductible, copay, or coinsurance owed by patient.
OA
Other Adj.
Adjustments not covered by CO or PR groups.
The active group for this code is highlighted: OA — Other Adjustments
❓ Frequently Asked Questions
What does Remark Code 224 mean?
PATIENT IDENTIFICATION COMPROMISED BY IDENTITY THEFT. IDENTITY VERIFICATION REQUIRED FOR PROCESSING THIS AND FUTURE CLAIMS. In 835 EDI transactions, this maps to RA835 remark code N30: Patient ineligible for this service.
Is Remark Code 224 a denial or informational code?
Remark codes can be either informational or indicate a denial/adjustment. This code is associated with adjustment group OA (Other Adjustments). Always check the accompanying CARC (Claim Adjustment Reason Code) on the remittance for the full picture.
Can I appeal a claim with Remark Code 224?
Yes. If you believe the remark was applied incorrectly, you may file an appeal with supporting clinical documentation. Review the payer's appeal guidelines and ensure you file within the timely filing deadline specified in your contract.
What is the difference between a Remark Code and a Denial Code?
A Denial Code (CARC — Claim Adjustment Reason Code) explains why a payment was reduced or denied. A Remark Code provides supplemental information to clarify the adjustment — they often appear together on the same remittance line.
Where do I find Remark Code 224 on the remittance?
On an 835 ERA, look in loop 2110 (Service Payment Information) under the RMK segment. On a paper EOB it typically appears in the "Remark" or "Message" column alongside the service line.
Disclaimer: The information on this page is provided for educational purposes only and reflects general industry guidance. Always verify codes and policies directly with the payer or consult a certified medical billing professional for claims-specific advice.