A workers' compensation insurer has reported having ongoing responsibility for medical services (ORM) for this diagnosis.
Code type
RARC (Remark)
Category
Coordination of Benefits
Common CARC pairings
RARC N728 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 N728.
| CARC | Meaning |
|---|---|
| 19 | This is a work-related injury/illness and thus the liability of the Worker's Compensation Carrier. |
| 21 | This injury/illness is the liability of the no-fault carrier. |
See the full resolution workflow for RARC N728
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.
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