RARC N52: Patient not enrolled in the billing provider's managed care plan on the date of service.

Patient not enrolled in the billing provider's managed care plan on the date of service.

Common CARC pairings

RARC N52 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 N52.

CARC	Meaning
26	Expenses incurred prior to coverage.
27	Expenses incurred after coverage terminated.
32	Our records indicate the patient is not an eligible dependent.
96	Non-covered charge(s). At least one Remark Code must be provided (may be comprised of either the NCPDP Reject Reason Code, or Remittance Advice Remark Code that is not an ALERT.) Usage: Refer to the 835 Healthcare Policy Identification Segment (loop 2110 Service Payment Information REF), if present.
256	Service not payable per managed care contract.