Patient ineligible for this service.
Code type
RARC (Remark)
Category
Patient Eligibility
Common CARC pairings
RARCs like N30 ride alongside CARCs on the 835 electronic remittance advice. These are the CARC denials RARC N30 is most often paired with.
| CARC | Meaning |
|---|---|
| 26 | Expenses incurred prior to coverage. |
| 27 | Expenses incurred after coverage terminated. |
| 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. |
| 167 | This (these) diagnosis(es) is (are) not covered. Usage: Refer to the 835 Healthcare Policy Identification Segment (loop 2110 Service Payment Information REF), if present. |
| 258 | Claim/service not covered when patient is in custody/incarcerated. Applicable federal, state or local authority may cover the claim/service. |
| 269 | Anesthesia not covered for this service/procedure. Usage: Refer to the 835 Healthcare Policy Identification Segment (loop 2110 Service Payment Information REF), if present. |
| 289 | Services considered under the dental and medical plans, benefits not available. |
| B1 | Non-covered visits. |
See the full resolution workflow for RARC N30
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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