This claim/service is not payable under our service area. The claim must be filed to the Payer/Plan in whose service area the Rendering Physician is located.
Code type
RARC (Remark)
Category
Coordination of Benefits
Common CARC pairings
RARC N802 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 N802.
| CARC | Meaning |
|---|---|
| 109 | Claim/service not covered by this payer/contractor. You must send the claim/service to the correct payer/contractor. |
See the full resolution workflow for RARC N802
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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