Adjusted because the patient is covered under a Medicare Part D plan.
Code type
RARC (Remark)
Category
Coordination of Benefits
Common CARC pairings
RARC N751 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 N751.
| CARC | Meaning |
|---|---|
| 22 | This care may be covered by another payer per coordination of benefits. |
| 109 | Claim/service not covered by this payer/contractor. You must send the claim/service to the correct payer/contractor. |
| 204 | This service/equipment/drug is not covered under the patient's current benefit plan. |
| 280 | Claim received by the medical plan, but benefits not available under this plan. Submit these services to the patient's Pharmacy plan for further consideration. |
| 292 | Claim received by the medical plan, but benefits not available under this plan. Claim has been forwarded to the patient's pharmacy plan for further consideration. |
| B11 | The claim/service has been transferred to the proper payer/processor for processing. Claim/service not covered by this payer/processor. |
See the full resolution workflow for RARC N751
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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