What CARCs commonly appear with RARC M45?

Common CARC pairings with RARC M45 include: 16.

RARC M45: Missing/incomplete/invalid occurrence code(s).

Q: How does RARC M45 pair with CARCs?

RARC M45 is a remark code that appears alongside CARCs on the 835 electronic remittance advice to provide detail about the adjustment.

Missing/incomplete/invalid occurrence code(s).

Code type RARC (Remark)

Category Missing Info

Common CARC pairings

RARCs like M45 ride alongside CARCs on the 835 electronic remittance advice. These are the CARC denials RARC M45 is most often paired with.

CARC	Meaning
16	Claim/service lacks information or has submission/billing error(s). Usage: Do not use this code for claims attachment(s)/other documentation. 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.) Refer to the 835 Healthcare Policy Identification Segment (loop 2110 Service Payment Information REF), if present.

CARC

Meaning

Claim/service lacks information or has submission/billing error(s). Usage: Do not use this code for claims attachment(s)/other documentation. 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.) Refer to the 835 Healthcare Policy Identification Segment (loop 2110 Service Payment Information REF), if present.

See the full resolution workflow for RARC M45

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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