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N269 Remark Code: Other Provider Name Invalid

N269 means the name of an 'other provider' reported on the claim was missing, incomplete, or invalid. On facility claims this refers to the extra provider roles beyond attending and operating, such as another surgeon, a referring provider, or a rendering provider.

Quick facts

Code
N269 (RARC N269)
Status
Active In use since December 2, 2004.
Code set
Remittance Advice Remark Codes (RARC)
Group codes
  • CO (Contractual Obligation): A provider-correctable data issue; the facility fixes the name and resubmits. The patient is not billed.
Official description
Missing/incomplete/invalid other provider name.
X12 Remittance Advice Remark Codes, retrieved September 25, 2026
Last verified
against the official X12 list.

What N269 means

Institutional claims have fixed slots for the attending and operating provider, plus two flexible “other provider” slots (UB-04 form locators 78 and 79). Each other-provider entry pairs a qualifier describing the role with an NPI, optional secondary ID, and name. The 837I has comparable sections for roles such as an additional operating physician, a rendering provider, or a referring provider.

N269 says the name in one of those extra roles did not pass the payer’s checks. The rest of the claim may be fine; the payer simply cannot accept an extra provider entry without a proper name.

Common causes

  • A qualifier and NPI were populated in form locator 78 or 79, but the name was blank.
  • A second surgeon or assistant was keyed with a nickname or credentials in the name field.
  • Old claim templates carry an “other” provider slot that is partly filled from a previous patient or default setting.
  • The name and NPI refer to different clinicians because two entries were swapped between locators 78 and 79.

How to fix it

  1. Identify each additional provider the claim reports and why. Check the qualifier to see which role it represents.
  2. For each entry that is needed, match the NPI to NPPES and enter the registered last and first name.
  3. Remove entries that don’t apply, clearing the qualifier and NPI as well.
  4. Rebill the claim as a replacement using frequency code 7 and the original claim number.

How to prevent it

Only populate the other-provider fields when a specific payer or scenario calls for them, and do so from your provider master rather than free text. A claim edit that rejects any other-provider entry lacking a name, NPI, or qualifier prevents the partial entries that cause most N269 remarks. See CARC 16 and missing-information denials for related patterns.

Codes that may appear with N269

  • CO-16 (Claim/service lacks information or has submission/billing error(s).): Missing or invalid information; N269 identifies the other provider's name.
  • N270 (Missing/incomplete/invalid other provider primary identifier.): The other provider's primary identifier (NPI) is the problem.
  • N271 (Missing/incomplete/invalid other provider secondary identifier.): The other provider's secondary identifier is the problem.
  • N261 (Missing/incomplete/invalid operating provider name.): The operating provider's name is the problem.

N269 FAQ

What is an 'other provider'?

It is a catch-all role on institutional claims. UB-04 form locators 78 and 79 hold additional providers, with a qualifier stating whether each is, for example, a referring, other operating, or rendering provider.

Is N269 used on professional claims?

It is mostly associated with institutional claims, where the 'other' provider fields exist. On professional claims payers typically use role-specific remarks such as rendering or referring codes.

What if I don't need an other provider on this claim?

If none applies, leave the fields fully blank. A partial entry, such as a qualifier with no name, is a common way to trigger N269.