Payment for this service has been issued to another provider.
Code type
RARC (Remark)
Category
Bundling
Common CARC pairings
RARCs like N472 ride alongside CARCs on the 835 electronic remittance advice. These are the CARC denials RARC N472 is most often paired with.
| 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 quirks.
Open in EDI Lab