Skip to main content

N112 Remark Code: Claim Excluded from Your ERA

N112 means this claim is excluded from your electronic remittance advice (ERA). The payer processed it, but the full claim detail is not reported in the 835, so you need to get the adjudication information another way, such as a paper remittance or the payer's portal.

Quick facts

Code
N112 (RARC N112)
Status
Active In use since February 28, 2002.
Code set
Remittance Advice Remark Codes (RARC)
Group codes
  • OA (Other Adjustment): Adjustments shown alongside N112 are informational; the complete explanation of the claim is delivered outside the ERA.
  • CO (Contractual Obligation): If a provider-liability adjustment is reported, it still follows the reason code given; N112 only explains where the rest of the detail is.
Official description
This claim is excluded from your electronic remittance advice.
X12 Remittance Advice Remark Codes, retrieved September 25, 2026
Last verified
against the official X12 list.

What N112 means

An ERA normally carries the complete adjudication of each claim so your system can post it automatically. N112 is the payer’s way of saying that, for this claim, it did not. The claim was processed, but its full detail is being reported through a different channel.

This creates a posting gap. If you rely on auto-posting, the claim can sit open even though it has been paid or denied.

Common causes

  • The payer processes some claim types or programs through a system that produces paper remittances only.
  • The claim was adjusted manually and the adjustment was reported outside the 835.
  • The payer’s ERA enrollment for your organization does not cover every payee identifier or location on the claim.

What to do

  1. Request the remittance detail from the payer through its portal, by phone, or by paper mail.
  2. Post the claim manually using that detail, and reconcile it to the payment.
  3. Confirm ERA enrollment covers every billing NPI and tax ID you use with the payer.
  4. Ask the payer whether this type of claim will always be excluded, so you can plan for manual posting.

How to prevent it

You cannot always prevent exclusions, but you can catch them. Run a weekly report of claims with payer activity but no posted ERA, and review payment deposits that do not tie to an 835. Reconciling ERAs against deposits in ERA Analyzer helps surface claims reported outside the electronic file.

Codes that may appear with N112

  • CO-A1 (Claim/Service denied.): A general claim-level denial that may be reported with N112 while the details are sent separately. Payer usage varies.
  • CO-192 (Non standard adjustment code from paper remittance.): A non-standard adjustment code from a paper remittance, which can appear when paper and electronic reporting are mixed.
  • MA74 (Alert: This payment replaces an earlier payment for this claim that was either lost, damaged or returned.): Explains that a payment replaces an earlier lost, damaged, or returned payment, another remittance-reporting alert.
  • N89 (Alert: Payment information for this claim has been forwarded to more than one other payer, but format limitations permit only one of the secondary…): Explains a limitation in what the remittance can show about secondary payers.

N112 FAQ

Why would a payer leave a claim off the ERA?

Reasons vary by payer. Some claims are handled by systems or programs that report on paper, or contain information the payer does not send electronically. Ask the payer why this claim was excluded.

How do I post a claim that isn't on the ERA?

Get the paper remittance or portal detail and post it manually, making sure payment amounts match the deposit.

Should I resubmit the claim?

No. N112 does not mean the claim is unprocessed. Resubmitting can create duplicates.