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N693 Remark Code: Reversal After Provider Cancellation

N693 is an alert that the payer reversed the claim because the provider cancelled it, typically by submitting a void. Any payment on the original claim is taken back, and nothing replaces it unless a new claim is filed.

Quick facts

Code
N693 (RARC N693)
Status
Active In use since November 1, 2013; last modified March 14, 2014.
Code set
Remittance Advice Remark Codes (RARC)
Group codes
  • CO (Contractual Obligation): The original payment and adjustments are reversed at the provider's request. The recovered amount is not a patient balance.
  • PR (Patient Responsibility): Any patient responsibility on the original claim is reversed as well, so patient balances tied to the voided claim should be cleared.
Official description
Alert: This reversal is due to a cancellation of the claim by the provider.
X12 Remittance Advice Remark Codes, retrieved September 25, 2026
Last verified
against the official X12 list.

What N693 means

Sometimes a claim shouldn’t have been sent at all. It went to the wrong payer, was billed for the wrong patient, duplicated another claim, or covered a service that never happened. Providers fix this by submitting a void or cancellation. N693 is the payer’s confirmation: the claim was reversed because you asked for it.

Unlike a replacement, a void doesn’t bring a corrected version with it. If any services on the voided claim are legitimately billable, they need a new claim.

What to do

  1. Confirm the void was intentional and matches the claim you meant to cancel.
  2. Post the reversal so the payment and any patient responsibility are removed from the account.
  3. Watch for recoupment. If the claim had been paid, the payer may deduct the amount from a later payment rather than ask for a refund.
  4. Rebill correctly where needed, to the right payer or for the right patient, as a new original claim.
  5. Clear patient statements tied to the voided claim so the patient isn’t billed for amounts that no longer exist.

If you see N693 on a claim you didn’t mean to cancel, check whether a void was submitted by mistake, perhaps with code 8 used where a replacement (code 7) was intended. See duplicate claim denials for how voids and replacements prevent duplicates.

Codes that may appear with N693

  • CO-88Deactivated (Adjustment amount represents collection against receivable created in prior overpayment.): The reversed payment may be collected against a later payment.
  • N694 (Alert: This reversal is due to a resubmission/change to the claim by the provider.): A reversal because the provider replaced or changed the claim, rather than cancelling it.
  • OA-18 (Exact duplicate claim/service (Use only with Group Code OA except where state workers' compensation regulations requires CO)): An exact duplicate claim, a common reason providers void one of two submissions.
  • CO-63Deactivated (Correction to a prior claim.): Correction to a prior claim.

N693 FAQ

How does a provider cancel a claim?

On a professional claim, a void is typically submitted with resubmission code 8 in box 22 and the payer's original claim number. Payers may also offer voids through their portal.

What if we voided the wrong claim?

Submit a new original claim for the services right away. Check timely filing, and keep proof of the void date in case the payer questions the timing.

Should the patient balance change?

Yes. Once a claim is voided, balances tied to it no longer stand. Rebill the patient only based on the new claim's processing.