Misrouted claim. See the payer's claim submission instructions.
Code type
RARC (Remark)
Category
Coordination of Benefits
Common CARC pairings
RARC N418 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 N418.
| CARC | Meaning |
|---|---|
| 19 | This is a work-related injury/illness and thus the liability of the Worker's Compensation Carrier. |
| 109 | Claim/service not covered by this payer/contractor. You must send the claim/service to the correct payer/contractor. |
| 158 | Service/procedure was provided outside of the United States. |
| B11 | The claim/service has been transferred to the proper payer/processor for processing. Claim/service not covered by this payer/processor. |
See the full resolution workflow for RARC N418
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