Missing/Incomplete/Invalid Prosthesis, Crown or Inlay Code.
Code type
RARC (Remark)
Category
Missing Info
Common CARC pairings
RARCs like N685 ride alongside CARCs on the 835 electronic remittance advice. These are the CARC denials RARC N685 is most often paired with.
| CARC | Meaning |
|---|---|
| 16 | Claim/service lacks information or has submission/billing error(s). Usage: Do not use this code for claims attachment(s)/other documentation. 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.) Refer to the 835 Healthcare Policy Identification Segment (loop 2110 Service Payment Information REF), if present. |
| 163 | Attachment/other documentation referenced on the claim was not received. |
| 252 | An attachment/other documentation is required to adjudicate this claim/service. 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). |
See the full resolution workflow for RARC N685
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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