For transaction 835 (Health Care Claim Payment/Advice) and standard paper remittance advice, valid Claim Adjustment Reason Codes (CARCs) and Remittance Advice Remark Codes (RARCs) must be used to report payment adjustments, appeal rights, and related information.
New Codes Ã± RARC:
|Code || Code Narrative||Effective Date|
|N547 || A refund request (Frequency Type Code 8) was processed previously.||3/6/2012|
|N548 || Alert: Patient’s calendar year deductible has been met.||3/6/2012 |
|N549 || Alert: Patient’s calendar year out-of-pocket maximum has been met.||3/6/2012|
|N550 || Alert: You have not responded to requests to revalidate your provider/supplier enrollment information. Your failure to revalidate your enrollment information will result in a payment hold in the near future. ||3/6/2012 |