Patient not enrolled in the billing provider's managed care plan on the date of service.
Code type
RARC (Remark)
Category
Patient Eligibility
Common CARC pairings
RARCs like N52 ride alongside CARCs on the 835 electronic remittance advice. These are the CARC denials RARC N52 is most often paired with.
| 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. |
See the full resolution workflow for RARC N52
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.
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