The third party will render payment to the provider, and they will reimburse you for covered services.
Code type
RARC (Remark)
Category
Credentialing/Enrollment
Common CARC pairings
RARC N916 appears with a Claim Adjustment Reason Code (CARC) on the 835 electronic remittance advice and gives more detail about the adjustment. These are the CARCs most often paired with RARC N916.
| CARC | Meaning |
|---|---|
| 299 | The billing provider is not eligible to receive payment for the service billed. |
See the full resolution workflow for RARC N916
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