RARC lookup

BCBS RARC Remark Codes and Next Actions

Remark codes explain what the CARC alone does not. Use this RARC hub to choose records, COB, authorization, coding or appeal actions.

N130Consult plan benefit documents or guidelines N179Additional information requested from member N180Item or service does not meet billed category criteria N181Additional information required from another provider N290Rendering provider primary identifier issue N362Days or units exceed acceptable maximum N375Dependent eligibility questionnaire issue N380Original claim processed; submit corrected claim N381Contract restrictions or billing/payment information N382Patient identifier issue N385Admission notification not timely N387Submit to patient’s other insurer N390Service or report cannot be billed separately N479Missing EOB for COB or Medicare Secondary Payer N480Incomplete or invalid EOB for COB/MSP N517Resubmit new claim with requested information N519Invalid combination of HCPCS modifiers N521Provider information mismatch N522Duplicate crossover claim N565Non-payable reporting code requires modifier N567Not covered when considered preventive N569Not covered for reported diagnosis N570Credentialing data issue N574Ordering/referring provider type cannot order or refer N620Quality reporting informational procedure code N623Experimental, excessive, inappropriate, or unproven N657Bill with the appropriate code N661Documentation does not support medical necessity N702Decision based on previously adjudicated claims N704Resubmit corrected information if warranted N705Incomplete or invalid documentation N706Missing documentation N707Incomplete or invalid orders N708Missing orders N710Missing notes