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RARC Code Reference

RARC N561: The bundled claim originally submitted for this episode of care includes related readmissions. You may resubmit the original claim to receive a corrected payment based on this readmission.

The bundled claim originally submitted for this episode of care includes related readmissions. You may resubmit the original claim to receive a corrected payment based on this readmission.

Code type RARC (Remark)
Category Plan Provision

Common CARC pairings

RARC N561 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 N561.

CARCMeaning
249 This claim has been identified as a readmission. (Use only with Group Code CO)

See the full resolution workflow for RARC N561

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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