Decision based on review of previously adjudicated claims or for claims in process for the same/similar type of services.
Code type
RARC (Remark)
Category
Duplicate
Common CARC pairings
RARCs like N702 ride alongside CARCs on the 835 electronic remittance advice. These are the CARC denials RARC N702 is most often paired with.
| CARC | Meaning |
|---|---|
| 18 | Exact duplicate claim/service (Use only with Group Code OA except where state workers' compensation regulations requires CO) |
| P14 | The Benefit for this Service is included in the payment/allowance for another service/procedure that has been performed on the same day. Usage: Refer to the 835 Healthcare Policy Identification Segment (loop 2110 Service Payment Information REF), if present. To be used for Property and Casualty only. |
See the full resolution workflow for RARC N702
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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