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
RARC N702 appears with a Claim Adjustment Reason Code (CARC) on the 835 electronic remittance advice and gives more detail about the adjustment. These are the CARCs most often paired with RARC N702.
| 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 requirements.
Open in EDI Lab