This amount represents the prior to coverage portion of the allowance.
Code type
RARC (Remark)
Category
Patient Eligibility
Common CARC pairings
RARCs like N128 ride alongside CARCs on the 835 electronic remittance advice. These are the CARC denials RARC N128 is most often paired with.
| CARC | Meaning |
|---|---|
| 26 | Expenses incurred prior to coverage. |
See the full resolution workflow for RARC N128
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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