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N560 Remark Code: No Claim Within 60 Days of NOA

N560 means a pilot program required an interim or final claim within 60 days of the Notice of Admission (NOA), and the payer did not receive one. It applies to bundled payment demonstrations where an NOA starts the episode and a follow-up claim is due.

Quick facts

Code
N560 (RARC N560)
Status
Active In use since November 1, 2012.
Code set
Remittance Advice Remark Codes (RARC)
Group codes
  • CO (Contractual Obligation): The adjustment follows from the program's filing requirement. The provider is responsible, not the patient.
Official description
The pilot program requires an interim or final claim within 60 days of the Notice of Admission. A claim was not received.
X12 Remittance Advice Remark Codes, retrieved September 25, 2026
Last verified
against the official X12 list.

What N560 means

Some bundled payment pilots use a two-step process. The provider first files a Notice of Admission (NOA) to open the episode, and then must follow up with an interim or final claim. N560 says that follow-up claim did not arrive within 60 days of the NOA.

The consequence depends on the program, but typically the payer adjusts or recovers the payment that was tied to the NOA. The remark tends to appear with a demonstration-project adjustment (CARC 132) or a program-guideline adjustment (CARC 272).

Common causes

  • The final claim was held for documentation or coding and missed the 60-day window.
  • The claim was submitted but rejected at the clearinghouse or front end, so the payer never received it. See claim rejection vs denial.
  • The claim did not link to the NOA because the provider number or episode dates differed.

What to do

  1. Check whether a claim was actually accepted by pulling your clearinghouse acknowledgments for the episode.
  2. If a claim was accepted in time, contact the payer with the acceptance report and ask it to reprocess.
  3. If no claim was sent, submit it now and ask the payer how late claims are handled under the pilot.
  4. Reconcile any recovery of the initial NOA payment in your accounts receivable.

How to prevent it

Track every NOA with a due date for its follow-up claim, and review open episodes weekly. Confirm acceptance, not just submission, before closing the task.

Codes that may appear with N560

  • CO-132 (Prearranged demonstration project adjustment.): A prearranged demonstration project adjustment, which fits pilot-program payment rules.
  • CO-272 (Coverage/program guidelines were not met.): Coverage or program guidelines were not met; here, the 60-day claim deadline.
  • N568 (Alert: Initial payment based on the Notice of Admission (NOA) under the Bundled Payment Model IV initiative.): Alert that the initial payment was based on the NOA under a bundled payment model.
  • N562 (The provider number of your incoming claim does not match the provider number on the processed Notice of Admission (NOA) for this bundled payment.): The provider number on the claim does not match the one on the processed NOA.
  • N561 (The bundled claim originally submitted for this episode of care includes related readmissions.): The bundled claim can be resubmitted because related readmissions were included.

N560 FAQ

What is a Notice of Admission in this context?

In NOA-based bundled payment pilots, the provider files a notice at the start of the episode, which can trigger an initial payment. The program then expects an interim or final claim to reconcile the episode.

Is N560 still used?

It was built for specific demonstration programs, and the original Medicare Bundled Payments for Care Improvement models have concluded. You may still see it when older episodes are reconciled or if a payer uses it for a similar pilot.

Can I still submit the claim?

Possibly. Ask the payer whether a late interim or final claim can be accepted and whether the initial NOA payment will be recovered.