RARC N523: The limitation on outlier payments defined by this payer for this service period has been met. The outlier payment otherwise applicable to this claim has not been paid.
By Mindy Corbett, CSPO, CPC, CPB, CPPM · Last updated: October 2026
The limitation on outlier payments defined by this payer for this service period has been met. The outlier payment otherwise applicable to this claim has not been paid.
Code typeRARC (Remark)
CategoryReference
See the full resolution workflow for RARC N523
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.
