RARC N870: Alert: In accordance with the No Surprises Act, cost sharing was based on the billed amount because the billed amount was lower than the qualifying payment amount.
By Mindy Corbett, CSPO, CPC, CPB, CPPM · Last updated: October 2026
Alert: In accordance with the No Surprises Act, cost sharing was based on the billed amount because the billed amount was lower than the qualifying payment amount.
Code typeRARC (Remark)
CategoryReference
See the full resolution workflow for RARC N870
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.
