RARC N911: This claim cannot be reimbursed by the manufacturer until the Part D plan submits corrected prescription drug event data to CMS for maximum fair price validation.
By Mindy Corbett, CSPO, CPC, CPB, CPPM · Last updated: October 2026
This claim cannot be reimbursed by the manufacturer until the Part D plan submits corrected prescription drug event data to CMS for maximum fair price validation.
Code typeRARC (Remark)
CategoryReference
See the full resolution workflow for RARC N911
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.