Non-covered visits.
Group code
CO, PI or PR
Category
Non-Covered Service
Risk level
Medium
Appealable
No
Common RARC pairings
RARCs (Remittance Advice Remark Codes) provide the specific reason detail alongside CARC B1 on the 835 electronic remittance. These are the RARCs seen most often with this CARC.
| RARC | Meaning |
|---|---|
| N20 | Service not payable with other service rendered on the same date. |
| N30 | Patient ineligible for this service. |
| N113 | Only one initial visit is covered per physician, group practice or provider. |
| N525 | These services are not covered when performed within the global period of another service. |
| N628 | Out-patient follow up visits on the same date of service as a scheduled test or treatment is disallowed. |
| N734 | The patient is eligible for these medical services only when unable to work or perform normal activities due to an illness or injury. |
| N912 | Our records indicate that this beneficiary did not elect hospice. |
See the full resolution workflow for CARC B1
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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