Resubmit a new claim with the requested information.
Code type
RARC (Remark)
Category
Coding
Common CARC pairings
RARC N517 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 N517.
| CARC | Meaning |
|---|---|
| 9 | The diagnosis is inconsistent with the patient's age. Usage: Refer to the 835 Healthcare Policy Identification Segment (loop 2110 Service Payment Information REF), if present. |
| 10 | The diagnosis is inconsistent with the patient's gender. Usage: Refer to the 835 Healthcare Policy Identification Segment (loop 2110 Service Payment Information REF), if present. |
| 146 | Diagnosis was invalid for the date(s) of service reported. |
| 181 | Procedure code was invalid on the date of service. |
| 182 | Procedure modifier was invalid on the date of service. |
| 284 | Precertification/authorization/notification/pre-treatment number may be valid but does not apply to the billed services. |
See the full resolution workflow for RARC N517
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.
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