Drug supplied not obtained from specialty vendor.
Code type
RARC (Remark)
Category
Medical Necessity
Common CARC pairings
RARCs like N773 ride alongside CARCs on the 835 electronic remittance advice. These are the CARC denials RARC N773 is most often paired with.
| CARC | Meaning |
|---|---|
| 272 | Coverage/program guidelines were not met. |
| 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. |
See the full resolution workflow for RARC N773
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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