RARC N915: Predetermination of services is not allowed under the member's plan.
By Mindy Corbett, CSPO, CPC, CPB, CPPM · Last updated: October 2026
Predetermination of services is not allowed under the member's plan.
Code typeRARC (Remark)
CategoryReference
See the full resolution workflow for RARC N915
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.