Healthcare Error Code
Healthcare Insurance / Medical Billing
Remittance Advice Remark Codes (RARC)

N188 | Review needed

Industry
Healthcare
Canonical
/healthcare/error-codes/n188/
Last Updated
Feb 25, 2026
Summary

This code indicates that the claim requires additional review before a decision can be made.

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What This Code Means

N188 is used when a claim is flagged for further review. This may involve medical, administrative, or policy-based evaluation. The code does not indicate approval or denial. It reflects an interim processing state. Final outcomes depend on review results.

Where Users Usually See This Code

  • Remittance advice remarks
  • Claim status updates
  • Review notification summaries

Why This Code Appears

  • Claim requires additional evaluation
  • Policy or documentation review triggered
  • Automated checks flagged the claim

What Typically Happens Next

  • Claim enters review workflow
  • Processing time increases
  • Decision issued after review

What This Code Is Not

  • It is not a denial
  • It is not a billing error
  • It is not patient responsibility

Troubleshooting Checklist

  • Monitor claim status
  • Review review timelines
  • Track follow-up notices

Notes And Edge Cases

Review timelines vary by payer. Some reviews are automated, others manual.

Related Codes

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