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N912 Remark Code: Beneficiary Did Not Elect Hospice

N912 means the payer's records show the beneficiary did not elect hospice for the dates of service. Without a hospice election on file, the payer will not process the claim as hospice care.

Quick facts

Code
N912 (RARC N912)
Status
Active In use since July 1, 2025.
Code set
Remittance Advice Remark Codes (RARC)
Group codes
  • CO (Contractual Obligation): The denied hospice charges. Election problems are the hospice's to resolve; the patient is generally not billed.
Official description
Our records indicate that this beneficiary did not elect hospice.
X12 Remittance Advice Remark Codes, retrieved September 25, 2026
Last verified
against the official X12 list.

What N912 means

Hospice benefits start with an election: the patient, or their representative, chooses hospice care and waives certain curative treatment for the terminal illness. The hospice then notifies the payer. Every hospice claim is checked against that election record.

N912 means the check failed. As far as the payer’s records show, the patient never elected hospice, or not for the period billed.

Common causes

  • The Notice of Election was not submitted, was rejected, or is still pending.
  • The notice has a different admission date, patient ID, or hospice provider number than the claim.
  • The patient revoked the election or was discharged before the dates billed.
  • The patient transferred from another hospice and the transfer was not processed.
  • A non-hospice provider billed a hospice-type claim by mistake.

How to fix it

  1. Check the election record through the payer’s eligibility system or portal.
  2. File or correct the Notice of Election if it is missing or wrong.
  3. Resubmit the claim once the election is on file and dates agree.
  4. Review revocations or transfers and adjust dates of service if the election ended.

How to prevent it

Confirm the election is accepted by the payer within days of admission, before billing the first period.

Codes that may appear with N912

  • CO-177 (Patient has not met the required eligibility requirements.): The patient has not met the eligibility requirements for the benefit billed.
  • CO-A1 (Claim/Service denied.): A general claim denial, with N912 naming the missing hospice election.
  • N143 (The patient was not in a hospice program during all or part of the service dates billed.): The patient was not in a hospice program for all or part of the service dates.
  • MA54 (Physician certification or election consent for hospice care not received timely.): Physician certification or election consent for hospice was not received timely.
  • MA25 (A patient may not elect to change a hospice provider more than once in a benefit period.): The patient tried to change hospice providers more than allowed in a benefit period.
  • CO-B9 (Patient is enrolled in a Hospice.): The opposite situation: the patient is enrolled in hospice, which affects claims from other providers.

N912 FAQ

How does a payer know about a hospice election?

For Medicare, the hospice files a Notice of Election after the patient signs the election statement. If that notice is missing, rejected, or does not cover the dates, the claim cannot match.

What if the patient signed the election but the notice was late?

Late filing of the Notice of Election has its own consequences under Medicare rules, which can leave some days non-covered. Check the payer's rules on late elections.

Could the patient have revoked hospice?

Yes. A revocation or discharge on file will end the election, and claims for later dates will not match.