Billing exceeds the rental months covered/approved by the payer.
Code type
RARC (Remark)
Category
Benefit Maximum/Limitation
Common CARC pairings
RARC N370 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 N370.
| CARC | Meaning |
|---|---|
| 35 | Lifetime benefit maximum has been reached. |
| 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. |
| 108 | Rent/purchase guidelines were not met. Usage: Refer to the 835 Healthcare Policy Identification Segment (loop 2110 Service Payment Information REF), if present. |
| P31 | Payment denied for exacerbation when treatment exceeds time allowed. To be used for Property and Casualty only. |
See the full resolution workflow for RARC N370
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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