Expenses incurred after coverage terminated.
Group code
CO, PI or PR
Category
Patient Eligibility
Risk level
High
Appealable
No
Common RARC pairings
RARCs (Remittance Advice Remark Codes) provide the specific reason detail alongside CARC 27 on the 835 electronic remittance. These are the RARCs seen most often with this CARC.
| RARC | Meaning |
|---|---|
| MA47 | Our records show you have opted out of Medicare, agreeing with the patient not to bill Medicare for services/tests/supplies furnished. As result, we cannot pay this claim. The patient is responsible for payment. |
| N30 | Patient ineligible for this service. |
| N52 | Patient not enrolled in the billing provider's managed care plan on the date of service. |
| N619 | Coverage terminated for non-payment of premium. |
| N622 | Not covered based on the date of injury/accident. |
| N650 | This policy was not in effect for this date of loss. No coverage is available. |
| N905 | Our records show you have opted out of Medicare, agreeing with the patient not to bill Medicare for services/tests/supplies furnished. As result, we cannot pay this claim. The patient is not responsible for payment. |
See the full resolution workflow for CARC 27
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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