How does RARC N862 pair with CARCs?

RARC N862 is a remark code that appears alongside CARCs on the 835 electronic remittance advice to provide detail about the adjustment.

RARC N862: Alert: Member cost share is in compliance with the No Surpri

Alert: Member cost share is in compliance with the No Surprises Act, and is calculated using the lesser of the QPA or billed charge.

Code type RARC (Remark)

Category Reference

See the full resolution workflow for RARC N862

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 N862: Alert: Member cost share is in compliance with the No Surprises Act, and is calculated using the lesser of the QPA or billed charge.

See the full resolution workflow for RARC N862