The billing provider is not eligible to receive payment for the service billed.
Group code
CO, PI or PR
Category
Credentialing/Enrollment
Risk level
High
Appealable
Yes
Common RARC pairings
RARCs (Remittance Advice Remark Codes) provide the specific reason detail alongside CARC 299 on the 835 electronic remittance. These are the RARCs seen most often with this CARC.
| RARC | Meaning |
|---|---|
| M97 | Not paid to practitioner when provided to patient in this place of service. Payment included in the reimbursement issued the facility. |
| M115 | This item is denied when provided to this patient by a non-contract or non-demonstration supplier. |
| M134 | Performed by a facility/supplier in which the provider has a financial interest. |
| MA12 | You have not established that you have the right under the law to bill for services furnished by the person(s) that furnished this (these) service(s). |
| 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. |
| MA56 | 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, but under Federal law, you cannot charge the patient more than the limiting charge amount. |
| MA57 | Patient submitted written request to revoke his/her election for religious non-medical health care services. |
| MA123 | Your center was not selected to participate in this study, therefore, we cannot pay for these services. |
See the full resolution workflow for CARC 299
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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