N345 | Inconsistent information
This code indicates that information submitted on the claim is inconsistent across data elements.
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What This Code Means
N345 is used when payer systems detect conflicting or mismatched information within a claim. This may involve discrepancies between demographic, service, diagnosis, or provider data. The issue is administrative and relates to data consistency rather than coverage eligibility. The payer cannot reliably adjudicate the claim while inconsistencies exist. The code does not imply that the service itself is non-covered.
Where Users Usually See This Code
- Remittance advice remarks
- Claim rejection notices
- Claim status detail screens
Why This Code Appears
- Conflicting data across claim fields
- Mismatched service or diagnosis details
- Data transmission or formatting issues
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What Typically Happens Next
- Claim processing is delayed or denied
- Reprocessing may be required
- Payment is not finalized
What This Code Is Not
- It is not a coverage denial
- It is not patient responsibility
- It is not a contractual adjustment
Troubleshooting Checklist
- □ Review claim data for consistency
- □ Confirm alignment of all fields
- □ Monitor claim status
Notes And Edge Cases
Inconsistencies may arise from automated system updates or data mapping issues. Minor formatting differences can trigger this code.
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