RARC N591 Active Supplemental

RARC N591: Payment Adjusted After IME or Utilization Review

What This Means

Payment has been modified based on findings from an Independent Medical Examination (IME) or Utilization Review (UR). The payer determined that the original billed amount does not fully align with the medical necessity or appropriateness of services as assessed by the review. Review the IME or UR findings, and if you disagree, submit an appeal with supporting clinical documentation within the payer's deadline.

Disclaimer
This content is for informational purposes only. Always verify against your payer contracts and current coding guidelines.

Commonly Paired With

RARC N591 commonly appears alongside these CARC denial codes:

Code Name
PR-P3 Workers' Compensation Case Settled — Patient Responsibility →

Sources

  1. X12.org