How does RARC N869 pair with CARCs?

RARC N869 is a remark code that appears alongside CARCs on the 835 electronic remittance advice to provide detail about the adjustment.

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RARC Code Reference

RARC N869: Alert: Cost sharing was calculated based on the qualifying payment amount, in accordance with the No Surprises Act.

By Mindy Corbett, CSPO, CPC, CPB, CPPM · Last updated: August 2026

Alert: Cost sharing was calculated based on the qualifying payment amount, in accordance with the No Surprises Act.

Code type RARC (Remark)

Category Reference

See the full resolution workflow for RARC N869

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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