RARC N781 Active Informational
RARC N781: No Deductible Allowed for QMB Patient
What This Means
The patient is a Qualified Medicare Beneficiary (QMB) and federal law prohibits collecting Medicare cost-sharing amounts, including deductibles and coinsurance, from QMB patients. If any deductible was already collected from this patient, it must be refunded. Submit the deductible and coinsurance amounts to the patient's secondary payer, typically Medicaid, for reimbursement.
Disclaimer
This content is for informational purposes only. Always verify against your payer contracts and current coding guidelines. Commonly Paired With
RARC N781 commonly appears alongside these CARC denial codes:
| Code | Name | |
|---|---|---|
| PR-1 | Deductible Amount (also CO-1, OA-1) | → |
| CO-303 | QMB Patient Responsibility Not Covered (also OA-303) | → |