No rental payments after the item is purchased, returned or after the total of issued rental payments equals the purchase price.
Code type
RARC (Remark)
Category
Plan Provision
Common CARC pairings
RARC M7 appears with a Claim Adjustment Reason Code (CARC) on the 835 electronic remittance advice and gives more detail about the adjustment. These are the CARCs most often paired with RARC M7.
| CARC | Meaning |
|---|---|
| 108 | Rent/purchase guidelines were not met. Usage: Refer to the 835 Healthcare Policy Identification Segment (loop 2110 Service Payment Information REF), if present. |
| 119 | Benefit maximum for this time period or occurrence has been reached. |
See the full resolution workflow for RARC M7
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 requirements.
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