Remittance Advice Remark Code and Claim Adjustment Reason Code Update for Oct. 2005 | XiFin, Inc. (2023)

Remittance Advice Remark Code and Claim Adjustment Reason Code Update for Oct. 2005 | XiFin, Inc. (1)

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FAQs

What are claim adjustment reason codes and remittance advice remark codes? ›

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. Each RARC identifies a specific message as shown in the Remittance Advice Remark Code List.

What is a claim adjustment reason code? ›

Claim adjustment reason codes (CARCs) communicate an adjustment, meaning that they must communicate why a claim or service line was paid differently than it was billed.

What does a remittance advice remark code report? ›

Remittance Advice Remark Codes (RARCs) 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 plan when they apply.

How often are claim adjustment reason codes and remark codes updated? ›

Claim adjustment reason codes and remark codes are updated three times each year.

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