All articles Denial Management

Understanding CARC and RARC Codes on Your Remits

How Claim Adjustment Reason Codes and Remark Codes work together to explain denials and underpayments.

CARCRARCERA

Codes that explain the money

CARC codes explain why payment differs from the billed amount. RARC codes add context.

Always read them as a pair. The same CARC can mean different next steps with different remarks.

From code to action

Map top codes into playbooks: correct and resubmit, appeal, bill patient, or write off.

Trend analysis by code family reveals training and workflow gaps faster than claim-by-claim review.

Use a living library

AccuMed’s denial tools help teams search X12 CARC/RARC definitions and resolution steps instead of guessing from memory.

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