RARC N54 Active Supplemental
RARC N54: Claim Does Not Match Prior Authorization Details
What This Means
The services billed do not match what was pre-certified or authorized by the payer. Common causes include mismatched procedure codes, dates of service outside the authorized range, or additional services not included in the original authorization. Review the claim against the authorization details, correct any discrepancies in codes or dates, and resubmit.
Disclaimer
This content is for informational purposes only. Always verify against your payer contracts and current coding guidelines. Commonly Paired With
RARC N54 commonly appears alongside these CARC denial codes:
| Code | Name | |
|---|---|---|
| CO-171 | Payment Denied — Provider Type in This Facility Type (also PR-171) | → |