Our records show you have opted out of Medicare, agreeing with the patient not to bill Medicare for services/tests/supplies furnished. As result, we cannot pay this claim. The patient is responsible for payment.
Code type
RARC (Remark)
Category
Patient Eligibility
Common CARC pairings
RARCs like MA47 ride alongside CARCs on the 835 electronic remittance advice. These are the CARC denials RARC MA47 is most often paired with.
| CARC | Meaning |
|---|---|
| 27 | Expenses incurred after coverage terminated. |
| 32 | Our records indicate the patient is not an eligible dependent. |
| 96 | Non-covered charge(s). 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.) Usage: Refer to the 835 Healthcare Policy Identification Segment (loop 2110 Service Payment Information REF), if present. |
| 299 | The billing provider is not eligible to receive payment for the service billed. |
| B7 | This provider was not certified/eligible to be paid for this procedure/service on this date of service. Usage: Refer to the 835 Healthcare Policy Identification Segment (loop 2110 Service Payment Information REF), if present. |
See the full resolution workflow for RARC MA47
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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