How does RARC N506 pair with CARCs?

RARC N506 is a remark code that appears alongside CARCs on the 835 electronic remittance advice to provide detail about the adjustment.

RARC N506: Alert: This is an estimate of the member's liability based o

Alert: This is an estimate of the member's liability based on the information available at the time the estimate was processed. Actual coverage and member liability amounts will be determined when the claim is processed. This is not a pre-authorization or a guarantee of payment.

Code type RARC (Remark)

Category Reference

See the full resolution workflow for RARC N506

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

RARC N506: Alert: This is an estimate of the member's liability based on the information available at the time the estimate was processed. Actual coverage and member liability amounts will be determined when the claim is processed. This is not a pre-authorization or a guarantee of payment.

See the full resolution workflow for RARC N506