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RARC Code Reference

RARC N558: This claim/service is not payable under our service area. The claim must be filed to the Payer/Plan in whose service area the equipment was received.

This claim/service is not payable under our service area. The claim must be filed to the Payer/Plan in whose service area the equipment was received.

Code type RARC (Remark)
Category Coordination of Benefits

Common CARC pairings

RARC N558 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 N558.

CARCMeaning
109 Claim/service not covered by this payer/contractor. You must send the claim/service to the correct payer/contractor.

See the full resolution workflow for RARC N558

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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