What are remit codes?

What are RARC Codes? RARC codes are Remittance Advice Remark Codes (abbreviation RARC). RARC codes are used to convey information about remittance processing or to provide a supplemental explanation for an adjustment already described by a Claim Adjustment Reason Code.

What is denial code OA A1?

Reason Code: A1. Claim/Service denied. 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.) Remark Code: N370. Billing exceeds the rental months covered/approved by the payer.

What are remittance advice Remark Codes?

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.

What does FB mean on a Medicare remit?

Forward Balance
Forward Balance (FB) The FB amount does not indicate funds have been withheld from the provider’s payment for this remittance advice. It only indicates that a past claim has been adjusted to a different dollar amount. The FB indicated does not change the amount of the payment for this remittance advice.

What does denial code OA 23 mean?

OA-23: Indicates the impact of prior payers(s) adjudication, including payments and/or adjustments. No action required since the amount listed as OA-23 is the allowed amount by the primary payer.

What is a FCN number?

A Medicare FCN number is a Financial Control Number that is used to coordinate the handling of Medicare overpayments. The FCN associates an offset, the Remittance Advice and the DCN on the initial demand letter.

What does E3 mean on Medicare remit?

E3. Withholding; Used to reflect a withholding of a set dollar amount or a percentage of a capitation. payment, to be paid later, usually as a result of meeting Performance requirements.

What is denial code OA 23?