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RARC Code Reference

RARC M17: Alert: Payment approved as you did not know, and could not reasonably have been expected to know, that this would not normally have been covered for this patient. In the future, you will be liable for charges for the same service(s) under the same or similar conditions.

By Mindy Corbett, CSPO, CPC, CPB, CPPM  ·  Last updated: August 2026

Alert: Payment approved as you did not know, and could not reasonably have been expected to know, that this would not normally have been covered for this patient. In the future, you will be liable for charges for the same service(s) under the same or similar conditions.

Code type RARC (Remark)
Category Reference

See the full resolution workflow for RARC M17

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