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Remittance Advice Remark Codes (RARCs) are used to provide additional explanation for an adjustment already described by a Claim Adjustment Reason Code (CARC) or to convey information about remittance processing.
At least one Remark Code must be provided (may be comprised of either the NCPDP Reject Reason Code, or Remittance Advice Remark Code that is not an ALERT.) Usage: Use this code only when a more specific Claim Adjustment Reason Code is not available.
Remittance Advice Remark Code (RARC) Group Codes assign financial responsibility for the unpaid portion of the claim balance e.g., CO (Contractual Obligation) assigns responsibility to the provider and PR (Patient Responsibility) assigns responsibility to the patient.
AB-02-142, AB-01-132, AB-02-067, AB-03-012. Remark codes are used in a remittance advice to further explain an adjustment or relay informational messages that cannot be expressed with a claim adjustment reason code. Remark codes are maintained by CMS, but may be used by any health care payer when they apply.
Remittance Advice Remark Codes (RARCs) may be used by plans and issuers to communicate information about claims to providers and facilities, subject to state law. The following RARCs related to the No Surprises Act have been approved by the RARC Committee and are effective as of March 1, 2022.
This Reason Code Search and Resolution tool has been designed to aid Medicare providers in reviewing reason codes and how to resolve the edit or use them for determining if other action is needed.
An RA provides finalized claim details and contains explanatory claim processing message codes. Three different sets of codes are used on an RA: reason codes, group codes and Medicare-specific remark codes and messages.
Remittance Advice Remark Codes (RARCs) are used to provide additional explanation for an adjustment already described by a Claim Adjustment Reason Code (CARC) or to convey information about remittance processing.
Claim adjustment reason codes detail the reason why an adjustment was made to a health care claim payment by the payer, while remittance remark codes represent non-financial information critical to understanding the adjudication of a health insurance claim.
Claim Adjustment Reason Codes (CARCs) and Remittance Advice Remark Codes (RARCs) provide either supplemental explanation for a monetary adjustment or policy information that generally applies to the monetary adjustment.