All RARC Remark Codes

75 Remittance Advice Remark Codes. RARC codes supplement CARC denial codes with additional detail about why a claim was adjusted.

Code Name Type
M12 Diagnostic Tests Missing Purchased Service Indicator Supplemental
M15 Separately Billed Services Combined Into One Procedure Supplemental
M20 Missing or Invalid HCPCS Procedure Code Supplemental
M27 Provider Liable for Waived Patient Charges Informational
M49 Missing or Invalid Value Codes or Amounts Supplemental
M51 Missing or Invalid Procedure Code Supplemental
M60 Missing or Invalid Certificate of Medical Necessity Supplemental
M76 Missing or Invalid Diagnosis or Condition Supplemental
M77 Missing or Invalid Place of Service Supplemental
M86 Duplicate or Similar Service Already Paid Supplemental
M124 Missing Equipment Ownership Declaration for Part or Supply Supplemental
MA01 Appeal Rights Notice for Denied Services Informational
MA04 Primary Payer Information Missing for Secondary Claim Supplemental
MA18 Claim Received and Assigned for Processing Informational
MA61 Missing or Inaccurate Information on Claim Supplemental
MA63 Missing or Invalid Principal Diagnosis Code Supplemental
MA66 Missing or Invalid Principal Procedure Code Supplemental
MA120 Missing or Invalid CLIA Certification Number Supplemental
MA130 Unprocessable Claim with No Appeal Rights Supplemental
N4 Missing or Invalid Prior Payer EOB Supplemental
N19 Procedure Considered Incidental to Primary Service Supplemental
N20 Service Not Payable on Same Date as Another Supplemental
N30 Patient Not Eligible for This Service Supplemental
N54 Claim Does Not Match Prior Authorization Details Supplemental
N56 Procedure Code Invalid for Service or Date Supplemental
N95 Provider Type or Specialty Cannot Bill Service Supplemental
N104 Claim Sent to Wrong Medicare Jurisdiction Supplemental
N115 Decision Based on National Coverage Determination Supplemental
N120 Home Health Partial Episode Payment Adjustment Supplemental
N127 Resubmit Claim to UMWA Health Plan Supplemental
N130 Check Plan Benefits for Service Restrictions Supplemental
N180 Service Does Not Meet Billed Category Criteria Supplemental
N264 Missing or Invalid Ordering Provider Name Supplemental
N286 Missing or Invalid Referring Provider Identifier Supplemental
N290 Missing or Invalid Rendering Provider Identifier Supplemental
N321 Missing or Invalid Last Admission Period Supplemental
N350 Missing Description for Unlisted or NOC Code Supplemental
N362 Days or Units Exceed Acceptable Maximum Supplemental
N372 Only Reasonable and Necessary Maintenance Charges Covered Supplemental
N381 Refer to Contract for Payment Restrictions Informational
N386 Decision Based on National Coverage Determination Supplemental
N390 Service Cannot Be Billed Separately Supplemental
N428 Service Not Covered at This Place of Service Supplemental
N430 Procedure Code Does Not Match Units Billed Supplemental
N432 Alert: Adjustment Based on Recovery Audit Informational
N448 Service Not on Fee Schedule or Contract Supplemental
N479 Missing EOB for COB or MSP Claim Supplemental
N517 Requested Information Not Received Timely Supplemental
N519 Invalid Combination of HCPCS Modifiers Supplemental
N522 Duplicate of a Previously Processed Claim Supplemental
N525 Service Not Covered During Global Period Supplemental
N527 Claim Processed as Primary Before Recovery Demand Supplemental
N570 Missing or Invalid Provider Credentialing Data Supplemental
N572 Non-Payable Reporting Codes or Modifiers Required Supplemental
N574 Ordering/Referring Provider Type Cannot Order or Refer Supplemental
N575 Ordering/Referring Provider Name Mismatch on File Supplemental
N576 Services Not Related to Reported Incident or Claim Supplemental
N585 Benefits Ended Due to Final Injury Settlement Supplemental
N587 Insurance Policy Benefits Fully Exhausted Supplemental
N588 Patient Directed Claims Not Be Processed Supplemental
N590 Independent Medical Exam Report Missing Supplemental
N591 Payment Adjusted After IME or Utilization Review Supplemental
N657 Services Must Use Correct Procedural Code Supplemental
N669 Payment Adjusted Per Medicare Fee Schedule Supplemental
N699 Payment Adjusted Under PQRS Incentive Program Supplemental
N710 Required Clinical Notes or Documentation Missing Supplemental
N712 Required Summary Document Missing from Claim Supplemental
N714 Required Report Missing from Claim Submission Supplemental
N716 Patient Medical Chart Missing from Claim Supplemental
N763 Demonstration Code Not Appropriate for Claim Supplemental
N770 Provider Adjustment Request Has Been Processed Supplemental
N781 No Deductible Allowed for QMB Patient Informational
N830 Processed Under Balance Billing / No Surprises Rules Informational
N831 Provider Enrollment Revalidation Request Unanswered Supplemental
N898 Medicare Drug Price Negotiation Program Adjustment Supplemental