Additional payment/recoupment approved based on payer-initiated review/audit.
Code type
RARC (Remark)
Category
Documentation
Common CARC pairings
RARC N199 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 N199.
| CARC | Meaning |
|---|---|
| B12 | Services not documented in patient's medical records. |
See the full resolution workflow for RARC N199
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