RARC N714: Required Report Missing from Claim Submission
A required report — such as a diagnostic, lab, or imaging report — was not included with the claim submission; obtain the report and resubmit.
What Does RARC N714 Mean?
RARC N714 indicates that the payer cannot process the claim because a required report was not submitted with it. This refers to formal reports such as diagnostic test results, laboratory findings, imaging or radiology reports, pathology reports, or other structured clinical reports that the payer needs to evaluate the claim.
Payers request reports when the billed services involve diagnostics or procedures whose results directly affect coverage determination. For example, certain imaging studies may require the radiologist's interpretation report to justify the procedure, or a genetic test claim may need the lab report to support medical necessity. Some payer policies require reports for specific high-cost services as a standard submission requirement.
N714 is distinct from N710 (clinical notes) and N712 (summary documents) in that it specifically targets formal reports — documents that present findings, results, or interpretations from diagnostic or evaluative services. The claim will not be adjudicated until the required report is submitted.
What to Do
Determine which report the payer requires by reviewing the remittance details or contacting the payer's claims department. Common examples include radiology interpretation reports, lab result reports, pathology reports, and diagnostic study reports. Locate the report in the patient's medical record or request it from the department or facility that generated it.
Attach the report to the claim and resubmit using the payer's preferred documentation submission method — electronic attachment, payer portal upload, or paper submission with a cover letter. Ensure the report includes the patient's identifying information, the date of service, and the interpreting provider's signature. For future claims involving similar services, build a workflow to include required reports with the initial submission to avoid delays.
Common Scenarios
- An advanced imaging claim is denied because the radiologist's interpretation report was not submitted to justify the medical necessity of the study
- A genetic testing claim requires the laboratory report showing the test results, but it was not attached to the claim at the time of submission
- A pathology claim is held because the payer needs the pathology report to verify the complexity of the specimen examination billed
- A sleep study claim requires the interpreting physician's report but the claim was submitted before the report was finalized
Commonly Paired With
RARC N714 commonly appears alongside these CARC denial codes:
| Code | Name | |
|---|---|---|
| CO-252 | Attachment Required to Adjudicate Claim | → |