This care may be covered by another payer per coordination of benefits.
Group code
CO, PI or PR
Category
Coordination of Benefits
Risk level
High
Appealable
Review Required
Common RARC pairings
RARCs (Remittance Advice Remark Codes) provide the specific reason detail alongside CARC 22 on the 835 electronic remittance. These are the RARCs seen most often with this CARC.
| RARC | Meaning |
|---|---|
| MA04 | Secondary payment cannot be considered without the identity of or payment information from the primary payer. The information was either not reported or was illegible. |
| MA16 | The patient is covered by the Black Lung Program. Send this claim to the Department of Labor, Federal Black Lung Program, P.O. Box 828, Lanham-Seabrook MD 20703. |
| MA64 | Our records indicate that we should be the third payer for this claim. We cannot process this claim until we have received payment information from the primary and secondary payers. |
| MA92 | Missing plan information for other insurance. |
| N4 | Missing/Incomplete/Invalid prior Insurance Carrier(s) EOB. |
| N36 | Claim must meet primary payer's processing requirements before we can consider payment. |
| N197 | The subscriber must update insurance information directly with payer. |
| N245 | Incomplete/invalid plan information for other insurance |
See the full resolution workflow for CARC 22
Members of the EDI-Code Intelligence Lab get the step-by-step rework path, appeal language, root-cause drivers, and prevention checklist for every CARC and RARC pairing, plus payer-specific quirks.
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