How does RARC N858 pair with CARCs?

RARC N858 is a remark code that appears alongside CARCs on the 835 electronic remittance advice to provide detail about the adjustment.

RARC N858: Alert: State regulations relating to an Out of Network Medic

Alert: State regulations relating to an Out of Network Medical Emergency Care Act were applied to the processing of this claim. Payment amounts are eligible for dispute following the state's documented appeal/ grievance/ arbitration process.

Code type RARC (Remark)

Category Reference

See the full resolution workflow for RARC N858

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.

Open in EDI Lab

RARC N858: Alert: State regulations relating to an Out of Network Medical Emergency Care Act were applied to the processing of this claim. Payment amounts are eligible for dispute following the state's documented appeal/ grievance/ arbitration process.

See the full resolution workflow for RARC N858