Claim payment was the result of a payer's retroactive adjustment due to a review organization decision.
Code type
RARC (Remark)
Category
Reference
See the full resolution workflow for RARC N421
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.
Open in EDI Lab