The provider must update license information with the payer.
Code type
RARC (Remark)
Category
Credentialing/Enrollment
Common CARC pairings
RARCs like M143 ride alongside CARCs on the 835 electronic remittance advice. These are the CARC denials RARC M143 is most often paired with.
| CARC | Meaning |
|---|---|
| 170 | Payment is denied when performed/billed by this type of provider. Usage: Refer to the 835 Healthcare Policy Identification Segment (loop 2110 Service Payment Information REF), if present. |
| 252 | An attachment/other documentation is required to adjudicate this claim/service. At least one Remark Code must be provided (may be comprised of either the NCPDP Reject Reason Code, or Remittance Advice Remark Code that is not an ALERT). |
| 283 | Attending provider is not eligible to provide direction of care. |
| B7 | This provider was not certified/eligible to be paid for this procedure/service on this date of service. Usage: Refer to the 835 Healthcare Policy Identification Segment (loop 2110 Service Payment Information REF), if present. |
See the full resolution workflow for RARC M143
Members of the EDI-Code Intelligence Lab get the step-by-step rework path, appeal language, root-cause drivers, and prevention checklist for every RARC and CARC pairing, plus payer-specific quirks.
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