Precertification/notification/authorization/pre-treatment time limit has expired.
Group code
CO, PI or PR
Category
Prior Authorization
Risk level
Critical
Appealable
Yes
Common RARC pairings
RARCs (Remittance Advice Remark Codes) provide the specific reason detail alongside CARC 302 on the 835 electronic remittance. These are the RARCs seen most often with this CARC.
| RARC | Meaning |
|---|---|
| N54 | Claim information is inconsistent with pre-certified/authorized services. |
| N170 | A new/revised/renewed certificate of medical necessity is needed. |
| N351 | Service date outside of the approved treatment plan service dates. |
See the full resolution workflow for CARC 302
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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