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N619 Remark Code: Coverage Ended for Unpaid Premium

N619 means the patient's coverage was terminated for non-payment of premium. Services after the termination date are not covered by this plan, so the balance must go to other coverage or, where appropriate, to the patient.

Quick facts

Code
N619 (RARC N619)
Status
Active In use since July 15, 2013.
Code set
Remittance Advice Remark Codes (RARC)
Group codes
  • PR (Patient Responsibility): With coverage terminated, the amount is generally the patient's responsibility unless other coverage applies.
  • OA (Other Adjustment): Some payers report termination-related denials as other adjustments.
Official description
Coverage terminated for non-payment of premium.
X12 Remittance Advice Remark Codes, retrieved September 25, 2026
Last verified
against the official X12 list.

What N619 means

N619 is the final step in a premium-payment problem: the patient didn’t pay premiums, and the plan ended their coverage. Any service after the termination date isn’t covered. It commonly appears with CARC 27 (after coverage terminated) or CARC 200 (lapse in coverage).

For Marketplace enrollees with premium tax credits, termination often follows a three-month grace period and can take effect retroactively to the end of the first grace month. Other plan types have their own rules.

Common causes

  • The patient stopped paying premiums, whether by choice, oversight, or hardship.
  • An automatic payment failed without the patient noticing.
  • The patient changed plans and the old plan terminated for non-payment.

What to do

  1. Confirm the termination date through eligibility verification or the payer’s portal.
  2. Check for other coverage, such as a new plan, Medicaid, or an employer plan, and bill it if the patient had coverage on the date of service.
  3. Handle reversals. If the payer recouped earlier payments, match the recoupment to the original claims.
  4. Bill the patient for uncovered services according to your policy, with a clear explanation.

How to prevent surprises

Verify eligibility at every visit, not just at registration, and pay attention to grace-period alerts such as N615 through N617. Talking with patients during the grace period gives them a chance to fix the problem. See eligibility and COB denials.

Codes that may appear with N619

  • PR-27 (Expenses incurred after coverage terminated.): Expenses incurred after coverage terminated.
  • CO-200 (Expenses incurred during lapse in coverage): Expenses incurred during a lapse in coverage.
  • N617 (This enrollee is in the second or third month of the advance premium tax credit grace period.): Second or third month of the premium tax credit grace period, when claims may be pended.
  • N618 (Alert: This claim will automatically be reprocessed if the enrollee pays their premiums.): The claim would have been reprocessed if premiums had been paid.
  • N698 (Alert: This reversal is due to non-payment of the health insurance premiums (Health Insurance Exchange or other) by the end of the premium payment…): Alert that a reversal occurred because premiums were not paid by the end of the grace period.

N619 FAQ

Why was I paid earlier and now see N619?

Coverage can be terminated retroactively after a grace period. The payer may reverse earlier payments or deny pended claims for dates after the termination date.

Can coverage be reinstated?

Sometimes, depending on the plan and the reason. The patient should contact the plan or Marketplace directly.

What should I bill the patient?

The charges for services after the termination date, according to your financial policy, unless the patient has other coverage.