Payment for this service has been issued to another provider.
Code type
RARC (Remark)
Category
Bundling
Common CARC pairings
RARC N472 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 N472.
| CARC | Meaning |
|---|---|
| 97 | The benefit for this service is included in the payment/allowance for another service/procedure that has already been adjudicated. Usage: Refer to the 835 Healthcare Policy Identification Segment (loop 2110 Service Payment Information REF), if present. |
| B13 | Previously paid. Payment for this claim/service may have been provided in a previous payment. |
| B20 | Procedure/service was partially or fully furnished by another provider. |
See the full resolution workflow for RARC N472
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