Claims & billing

RARC

Definition

Remittance Advice Remark Code — supplementary detail that qualifies a CARC.

A CARC says the claim was reduced; the RARC says the NDC was missing or invalid. Both are needed to act on a denial.

CARCClaim Adjustment Reason Code — the standardised reason a payment differs from the billed amount.Definition Denial codeA code on a remittance advice explaining why a claim or line was not paid as billed.Definition

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