The attachment/other documentation that was received was the incorrect attachment/document. The expected attachment/document is still missing. At least one Remark Code must be provided (may be comprised of either the NCPDP Reject Reason Code, or Remittance Advice Remark Code that is not an ALERT).
Group code
CO or PI
Category
Documentation
Risk level
High
Appealable
Yes
Common RARC pairings
RARCs (Remittance Advice Remark Codes) provide the specific reason detail alongside CARC 250 on the 835 electronic remittance. These are the RARCs seen most often with this CARC.
| RARC | Meaning |
|---|---|
| M19 | Missing oxygen certification/re-certification. |
| M23 | Missing invoice. |
| M29 | Missing operative note/report. |
| M30 | Missing pathology report. |
| M31 | Missing radiology report. |
| M60 | Missing Certificate of Medical Necessity. |
| M124 | Missing indication of whether the patient owns the equipment that requires the part or supply. |
| M127 | Missing patient medical record for this service. |
See the full resolution workflow for CARC 250
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.
Open in EDI Lab