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N179N-series (general use)Documentation & Medical Necessity

N179: Information requested from the member

The payer asked the patient (not you) for information — accident details, other-coverage questionnaires, student status — and is pending the claim on it.

Commonly appears with these denial codes

CO-227PR-227

The denial code gives the category; N179 pinpoints the specific problem. Read them together before touching the claim.

What to do about it

Tell the patient to respond immediately — claims pend then deny when members ignore these letters. Follow up in 2–3 weeks; the claim reprocesses once the payer hears back.

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