You have not established that you have the right under the law to bill for services furnished by the person(s) that furnished this (these) service(s).
Code type
RARC (Remark)
Category
Credentialing/Enrollment
Common CARC pairings
RARC MA12 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 MA12.
| CARC | Meaning |
|---|---|
| 299 | The billing provider is not eligible to receive payment for the service billed. |
See the full resolution workflow for RARC MA12
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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