Precertification/authorization/notification/pre-treatment number may be valid but does not apply to the provider.
Group code
CO or PI
Category
Prior Authorization
Risk level
Critical
Appealable
Yes
Common RARC pairings
RARCs (Remittance Advice Remark Codes) provide the specific reason detail alongside CARC 296 on the 835 electronic remittance. These are the RARCs seen most often with this CARC.
| RARC | Meaning |
|---|---|
| M62 | Missing/incomplete/invalid treatment authorization code. |
| MA130 | Your claim contains incomplete and/or invalid information, and no appeal rights are afforded because the claim is unprocessable. Please submit a new claim with the complete/correct information. |
See the full resolution workflow for CARC 296
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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