The patient is eligible for these medical services only when unable to work or perform normal activities due to an illness or injury.
Code type
RARC (Remark)
Category
Medical Necessity
Common CARC pairings
RARCs like N734 ride alongside CARCs on the 835 electronic remittance advice. These are the CARC denials RARC N734 is most often paired with.
| CARC | Meaning |
|---|---|
| 50 | These are non-covered services because this is not deemed a 'medical necessity' by the payer. Usage: Refer to the 835 Healthcare Policy Identification Segment (loop 2110 Service Payment Information REF), if present. |
| 96 | Non-covered charge(s). 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.) Usage: Refer to the 835 Healthcare Policy Identification Segment (loop 2110 Service Payment Information REF), if present. |
| 256 | Service not payable per managed care contract. |
| B1 | Non-covered visits. |
See the full resolution workflow for RARC N734
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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