Patient did not meet the inclusion criteria for the Medicare Shared Savings Program.
Code type
RARC (Remark)
Category
Medical Necessity
Common CARC pairings
RARCs like N826 ride alongside CARCs on the 835 electronic remittance advice. These are the CARC denials RARC N826 is most often paired with.
| CARC | Meaning |
|---|---|
| 272 | Coverage/program guidelines were not met. |
See the full resolution workflow for RARC N826
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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