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RARC Code Reference

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.

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

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

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