Payment adjusted based on the Physician Quality Reporting System (PQRS) Incentive Program.
Code type
RARC (Remark)
Category
Plan Provision
Common CARC pairings
RARCs like N699 ride alongside CARCs on the 835 electronic remittance advice. These are the CARC denials RARC N699 is most often paired with.
| CARC | Meaning |
|---|---|
| 278 | Performance program proficiency requirements not met. (Use only with Group Codes CO or PI) Usage: Refer to the 835 Healthcare Policy Identification Segment (loop 2110 Service Payment Information REF), if present. |
See the full resolution workflow for RARC N699
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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