Payment denied as this is a specialty claim submitted as a general claim.
Code type
RARC (Remark)
Category
Billing
Common CARC pairings
RARCs like N684 ride alongside CARCs on the 835 electronic remittance advice. These are the CARC denials RARC N684 is most often paired with.
| CARC | Meaning |
|---|---|
| 8 | The procedure code is inconsistent with the provider type/specialty (taxonomy). Usage: Refer to the 835 Healthcare Policy Identification Segment (loop 2110 Service Payment Information REF), if present. |
| 185 | The rendering provider is not eligible to perform the service billed. Usage: Refer to the 835 Healthcare Policy Identification Segment (loop 2110 Service Payment Information REF), if present. |
See the full resolution workflow for RARC N684
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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