Island
CARC Reason code 3 meaning:
What is a copayment
RARC Reason Code M127 Meaning:
What is: Missing patient medical record for this service
CARC Reason code 96 Meaning:
What is: Non-covered charge(s).
RARC Reason Code M51 Meaning:
What is: Missing/incomplete/invalid procedure code(s)
CARC Reason Code 197 Meaning:
What is: Precertification/authorization/notification/pre-treatment absent
CARC Reason Code 6 Meaning:
The procedure/revenue code is inconsistent with the patient's age.
What is: Missing/incomplete/invalid HCPCS.
CARC Reason Code 18 Meaning:
What is: Exact duplicate claim/service
CARC Reason code 23 Meaning:
What is: The impact of prior payer(s) adjudication including payments and/or adjustments.
CARC Reason Code 31 Meaning:
What is: Patient cannot be identified as our insured
RARC Reason Code M15 Meaning:
What is: Separately billed services/tests have been bundled as they are considered components of the same procedure. Separate payment is not allowed
CARC Reason Code 26 Meaning:
What is: Expenses incurred prior to coverage
CARC Reason Code 22 Meaning:
What is: This care may be covered by another payer per coordination of benefits
CARC Reason Code 16 Meaning:
What is: Claim/service lacks information or has submission/billing error(s). Claim/service lacks information or has submission/billing error(s).
RARC Reason Code M26 Meaning:
What is:
The information furnished does not substantiate the need for this level of service.
CARC Reason Code 222 Meaning:
What is: Exceeds the contracted maximum number of hours/days/units by this provider for this period. This is not patient specific.
CARC Reason Code 19 Meaning:
What is: This is a work-related injury/illness and thus the liability of the Worker's Compensation Carrier
RARC Reason Code M90 Meaning:
What is: Not covered more than once in a 12 month period
RARC Reason Code M53 Meaning:
What is: Missing/incomplete/invalid days or units of service
CARC Reason Code 24 Meaning:
What is: Charges are covered under a capitation agreement/managed care plan
RARC Reason Code M52 Meaning:
What is: Missing/incomplete/invalid 'from' date(s) of service
CARC Reason Code 119 Meaning:
What is: Benefit maximum for this time period or occurrence has been reached.
RARC Reason Code M15 Meaning:
What is: Separately billed services/tests have been bundled as they are considered components of the same procedure. Separate payment is not allowed.
CARC Reason Code 150 Meaning:
What is: Payer deems the information submitted does not support this level of service
CARC Reason Code 160 Meaning:
What is: Injury/illness was the result of an activity that is a benefit exclusion.