How does RARC MA14 pair with CARCs?

RARC MA14 is a remark code that appears alongside CARCs on the 835 electronic remittance advice to provide detail about the adjustment.

RARC MA14: Alert: The patient is a member of an employer-sponsored prep

Alert: The patient is a member of an employer-sponsored prepaid health plan. Services from outside that health plan are not covered. However, as you were not previously notified of this, we are paying this time. In the future, we will not pay you for non-plan services.

Code type RARC (Remark)

Category Reference

See the full resolution workflow for RARC MA14

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.

Open in EDI Lab

RARC MA14: Alert: The patient is a member of an employer-sponsored prepaid health plan. Services from outside that health plan are not covered. However, as you were not previously notified of this, we are paying this time. In the future, we will not pay you for non-plan services.

See the full resolution workflow for RARC MA14