Information requested from the patient
The payer asked the member for information (accident details, other insurance, student status) and will reconsider once it arrives.
Usual causes
- Coordination of benefits or accident questionnaire not returned by the patient.
The fix
Contact the patient, explain what the payer needs and help them respond. Then ask the payer to reprocess.
Appeal or corrected claim?
Not an appeal. The patient must respond, then request reprocessing.
Deadline to watch
Payer usually allows 30 to 60 days for the response.
Exact limits are in your payer contract or provider manual. When in doubt, send the correction or appeal this week.
N179 in short
What does N179 mean?
The payer asked the member for information (accident details, other insurance, student status) and will reconsider once it arrives. The official X12 text reads: "Additional information has been requested from the member. The charges will be reconsidered upon receipt of that information."
What usually causes a N179 denial?
Coordination of benefits or accident questionnaire not returned by the patient.
How do I fix N179?
Contact the patient, explain what the payer needs and help them respond. Then ask the payer to reprocess.
Should I appeal N179 or send a corrected claim?
Call or redirect. Not an appeal. The patient must respond, then request reprocessing.
What deadline applies to N179?
Payer usually allows 30 to 60 days for the response.