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N582 Remark Code: Benefits Suspended, Patient Cooperation

N582 means the payer has suspended benefits until the patient cooperates with its requirements, such as giving a statement, completing forms, or attending an exam. Payment resumes only after the patient does what the insurer asked.

Quick facts

Code
N582 (RARC N582)
Status
Active In use since July 15, 2013.
Code set
Remittance Advice Remark Codes (RARC)
Group codes
  • OA (Other Adjustment): Benefits are suspended, not permanently denied. The amount stays open while the patient responds.
  • PR (Patient Responsibility): Some carriers show the suspended amount as patient responsibility. Billing the patient depends on state rules and your policies.
Official description
Benefits suspended pending the patient's cooperation.
X12 Remittance Advice Remark Codes, retrieved September 25, 2026
Last verified
against the official X12 list.

What N582 means

Property and casualty policies commonly require the injured person to cooperate with the insurer’s claim handling. When the patient doesn’t respond, the insurer can suspend payments. N582 tells you that has happened here: your bill is on hold because of something the patient has not done, not because of an error on your claim.

It is often paired with CARC 227 (information from the patient not provided) or CARC P6 (entitlement to benefits).

Common causes

  • The patient did not return forms such as an application for benefits or a medical authorization.
  • The patient missed a recorded statement or examination under oath requested by the insurer.
  • The patient did not attend a scheduled independent medical exam.
  • The insurer could not reach the patient because contact details are out of date.

What to do

  1. Call the adjuster and ask exactly what is outstanding and the deadline for it.
  2. Tell the patient in writing what the insurer needs and that their bills are on hold until they respond.
  3. Send anything within your control, such as records the insurer requested from you, so you are not part of the delay.
  4. Follow up after the patient responds and ask whether suspended claims will be reprocessed automatically.
  5. Check your options under state rules and your financial policy if the patient never cooperates.

How to prevent it

Explain at intake that auto and injury insurers require the patient’s participation, and give the patient the adjuster’s contact information. Keep the patient’s phone and address current in your records.

Codes that may appear with N582

  • CO-227 (Information requested from the patient/insured/responsible party was not provided or was insufficient/incomplete.): Information requested from the patient or insured was not provided.
  • CO-P6 (Based on entitlement to benefits.): Based on the patient's entitlement to benefits.
  • N593 (Not covered based on failure to attend a scheduled Independent Medical Exam (IME).): Not covered because the patient did not attend a scheduled independent medical exam.
  • N594 (Records reflect the injured party did not complete an Application for Benefits for this loss.): The injured party did not complete an application for benefits.
  • N675 (Additional information is required from the injured party.): Additional information is required from the injured party.

N582 FAQ

What kind of cooperation is usually required?

It depends on the policy and state, but common requests include a recorded statement, an application for benefits, medical authorizations, or attending an independent medical exam.

Can the provider cooperate on the patient's behalf?

Only for items the provider can legitimately supply, such as records. Statements and exams must come from the patient.

Will claims be paid retroactively once the patient cooperates?

Often, but not always. Ask the insurer whether suspended bills will be reprocessed or need to be resubmitted.