Healthcare Error Code
Healthcare Insurance / Medical Billing
Remittance Advice Remark Codes (RARC)
N160 | Policy documentation needed
Industry
Healthcare
Canonical
/healthcare/error-codes/n160/
Last Updated
Feb 25, 2026
Summary
This code indicates that policy-related documentation is required for claim processing.
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What This Code Means
N160 is applied when the payer requires additional policy documentation to complete adjudication. This is an administrative request rather than a denial. The service may still be eligible for payment once documentation is reviewed. The code does not specify which documents are required.
Where Users Usually See This Code
- Remittance advice remarks
- Documentation request notices
- Claim review summaries
Why This Code Appears
- Policy verification required
- Coverage rules need confirmation
- Documentation standards not met
What Typically Happens Next
- Claim processing is delayed
- Additional review may occur
- Payment is not finalized
What This Code Is Not
- It is not a coverage denial
- It is not a billing error
- It is not patient responsibility
Troubleshooting Checklist
- □ Review policy documentation requirements
- □ Confirm completeness of records
- □ Monitor claim status
Notes And Edge Cases
Documentation requests may arise during audits. Payer-specific rules affect timing.
Related Codes
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