The billed service(s) are not considered medical expenses.
Code type
RARC (Remark)
Category
Medical Necessity
Common CARC pairings
RARCs like N658 ride alongside CARCs on the 835 electronic remittance advice. These are the CARC denials RARC N658 is most often paired with.
| CARC | Meaning |
|---|---|
| 50 | These are non-covered services because this is not deemed a 'medical necessity' by the payer. Usage: Refer to the 835 Healthcare Policy Identification Segment (loop 2110 Service Payment Information REF), if present. |
| 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. |
| 202 | Non-covered personal comfort or convenience services. |
| 204 | This service/equipment/drug is not covered under the patient's current benefit plan. |
| 212 | Administrative surcharges are not covered. |
| 270 | Claim received by the medical plan, but benefits not available under this plan. Submit these services to the patient's dental plan for further consideration. |
| 280 | Claim received by the medical plan, but benefits not available under this plan. Submit these services to the patient's Pharmacy plan for further consideration. |
| 291 | Claim received by the medical plan, but benefits not available under this plan. Claim has been forwarded to the patient's dental plan for further consideration. |
See the full resolution workflow for RARC N658
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