The provider must update insurance information directly with payer.
Code type
RARC (Remark)
Category
Documentation
Common CARC pairings
RARC N191 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 N191.
| CARC | Meaning |
|---|---|
| 252 | An attachment/other documentation is required to adjudicate this claim/service. 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). |
| 283 | Attending provider is not eligible to provide direction of care. |
| 299 | The billing provider is not eligible to receive payment for the service billed. |
See the full resolution workflow for RARC N191
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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