Browse all standardized Remark Codes (RARC) used on Medicare, Medicaid, and commercial payer remittance advice (835 ERA / EOB). Each code includes its RA835 mapping, adjustment group, reason code, and a dedicated resolution guide.
Browse Claim Adjustment Reason Codes — the codes that explain why a payment was reduced or denied.
| Remark Code | Description | RA835 Code | Group | Reason Code | |
|---|---|---|---|---|---|
| CP85 | $85 PATIENT COPAY AMOUNT. | — | OA | 3 | View → |
| CP9 | $9 PATIENT COPAY AMOUNT. | — | OA | 3 | View → |
| D115 | DME SERVICE EXCEEDS QUANTITY LIMITATIONS. SERVICE LIMITED TO ONE EVERY 15 MONTHS. |
N362
The number of Days or Units of Service exceeds our acc… |
OA | 222 | View → |
| D12R | DME SERVICE EXCEEDS QUANTITY LIMITATIONS. SERVICE LIMITED TO 12 PER YEAR. |
N362
The number of Days or Units of Service exceeds our acc… |
OA | 222 | View → |
| D12Y | DME SERVICE EXCEEDS QUANTITY LIMITATIONS. SERVICE LIMITED TO ONE EVERY 2 YEARS. |
N362
The number of Days or Units of Service exceeds our acc… |
OA | 222 | View → |
| D13Y | DME SERVICE EXCEEDS QUANTITY LIMITATIONS. SERVICE LIMITED TO ONE EVERY 3 YEARS. |
N362
The number of Days or Units of Service exceeds our acc… |
OA | 222 | View → |
| D14M | DME SERVICE EXCEEDS QUANTITY LIMITATIONS. SERVICE LIMITED TO ONE EVERY 4 MONTHS. |
N362
The number of Days or Units of Service exceeds our acc… |
OA | 222 | View → |
| D15Y | DME SERVICE EXCEEDS QUANTITY LIMITATIONS. SERVICE LIMITED TO ONE EVERY 5 YEARS. |
N362
The number of Days or Units of Service exceeds our acc… |
OA | 222 | View → |
| D16M | DME SERVICE EXCEEDS QUANTITY LIMITATIONS. SERVICE LIMITED TO ONE EVERY 6 MONTHS. |
N362
The number of Days or Units of Service exceeds our acc… |
OA | 222 | View → |
| D190 | DME SERVICE EXCEEDS QUANTITY LIMITATIONS. SERVICE LIMITED TO 190 PER YEAR. |
N362
The number of Days or Units of Service exceeds our acc… |
OA | 222 | View → |
| D22Y | DME SERVICE EXCEEDS QUANTITY LIMITATIONS. SERVICE LIMITED TO TWO EVERY 2 YEARS. |
N362
The number of Days or Units of Service exceeds our acc… |
OA | 222 | View → |
| D23 | SERVICE DENIED - SERVICE IS NOT A COVERED BENEFIT. |
N174
This is not a covered service/procedure/ equipment/bed… |
OA | 96 | View → |
| D23Y | DME SERVICE EXCEEDS QUANTITY LIMITATIONS. SERVICE LIMITED TO TWO EVERY 3 YEARS. |
N362
The number of Days or Units of Service exceeds our acc… |
OA | 222 | View → |
| D25M | DME SERVICE EXCEEDS QUANTITY LIMITATIONS. SERVICE LIMITED TO TWO EVERY 5 MONTHS. |
N362
The number of Days or Units of Service exceeds our acc… |
OA | 222 | View → |
| D26M | DME SERVICE EXCEEDS QUANTITY LIMITATIONS. SERVICE LIMITED TO TWO EVERY 6 MONTHS. |
N362
The number of Days or Units of Service exceeds our acc… |
OA | 222 | View → |
| D2PY | DME SERVICE EXCEEDS QUANTITY LIMITATIONS. SERVICE LIMITED TO TWO PER YEAR. |
N362
The number of Days or Units of Service exceeds our acc… |
OA | 222 | View → |
| D36M | DME SERVICE EXCEEDS QUANTITY LIMITATIONS. SERVICE LIMITED TO THREE EVERY 6 MONTHS. |
N362
The number of Days or Units of Service exceeds our acc… |
OA | 222 | View → |
| D3PY | DME SERVICE EXCEEDS QUANTITY LIMITATIONS. SERVICE LIMITED TO THREE PER YEAR. |
N362
The number of Days or Units of Service exceeds our acc… |
OA | 222 | View → |
| D46M | DME SERVICE EXCEEDS QUANTITY LIMITATIONS. SERVICE LIMITED TO FOUR EVERY 6 MONTHS. |
N362
The number of Days or Units of Service exceeds our acc… |
OA | 222 | View → |
| D4PY | DME SERVICE EXCEEDS QUANTITY LIMITATIONS. SERVICE LIMITED TO FOUR PER YEAR. |
N362
The number of Days or Units of Service exceeds our acc… |
OA | 222 | View → |
| D66M | DME SERVICE EXCEEDS QUANTITY LIMITATIONS. SERVICE LIMITED TO SIX EVERY 6 MONTHS. |
N362
The number of Days or Units of Service exceeds our acc… |
OA | 222 | View → |
| DB | MEMBER'S DATE OF BIRTH ON FILE DOES NOT MATCH DATE OF BIRTH ON HCFA/UB. PLEASE VERIFY | — | OA | 31 | View → |
| DNX | PLAN DOES NOT PROVIDE BENEFITS FOR DENTAL SERVICES. |
N418
Misrouted claim. See the payer's claim submission ins… |
OA | 109 | View → |
| DRVE | ITEM SHOULD BE PURCHASED THROUGH PHARMACY VENDOR |
N418
Misrouted claim. See the payer's claim submission ins… |
OA | 109 | View → |
| EV17 | DEPENDENT OVER AGE LIMIT. |
N129
Not eligible due to the patient's age. |
OA | 6 | View → |
| HAR1 | ONE PAIR OF EYEGLASSES A YEAR |
N640
Exceeds number/frequency approved/allowed within time … |
OA | 119 | View → |
| HAR5 | ONE PAIR OF EYEGLASSES EVERY 5 YEARS |
N640
Exceeds number/frequency approved/allowed within time … |
OA | 119 | View → |
| HHS | HOME HEALTH SERVICES LIMITED TO 100 VISITS PER YEAR. |
N640
Exceeds number/frequency approved/allowed within time … |
OA | 119 | View → |
| IORP | ALERT (ORP): Entity's National Provider Identifier (NPI). Missing or invalid information. | — | OA | 206 | View → |
| IPRB | INPT REHAB LIMITED TO 90 DAYS PER CALENDER YEAR. |
N640
Exceeds number/frequency approved/allowed within time … |
OA | 119 | View → |
| JCME | RECOUPMENT DUE TO MEMBER NOT ELIGIBLE ON DATES OF SERVICE. | — | OA | 27 | View → |
| JFPC | A REFUND WAS RECEIVED FOR THIS CLAIM THAT WAS PREVIOUSLY PAID CORRECTLY. BENEFITS ARE NOW BEING RE… | — | OA | 45 | View → |
| JIPE | RETURNING INTEREST TAKEN IN ERROR. | — | OA | 85 | View → |
| JP01 | Payment Integrity program review - Billing for services not rendered |
N35
Program integrity/utilization review decision. |
OA | 112 | View → |
| JP02 | Payment Integrity program review - Billing for services that are not medically necessary |
N35
Program integrity/utilization review decision. |
OA | 50 | View → |
| JP03 | Payment Integrity program review - Upcoding |
N35
Program integrity/utilization review decision. |
OA | 16 | View → |
| JP04 | Payment Integrity program review - Unbundling |
N35
Program integrity/utilization review decision. |
OA | 97 | View → |
| JP05 | Payment Integrity program review - Failure to Respond to Audit Request |
N35
Program integrity/utilization review decision. |
OA | 16 | View → |
| JP06 | Payment Integrity program review - Insufficient Documentation |
N35
Program integrity/utilization review decision. |
OA | 16 | View → |
| JP07 | Payment Integrity program review - Illegible documentation |
N35
Program integrity/utilization review decision. |
OA | 16 | View → |
| JP08 | Payment Integrity program review - Undercoding |
N35
Program integrity/utilization review decision. |
OA | 16 | View → |
| JP09 | Payment Integrity program review - Records received after due date |
N35
Program integrity/utilization review decision. |
OA | 164 | View → |
| JP10 | Payment Integrity program review - Hospital Transfer Billed as Discharge |
n35
Program integrity/utilization review decision. |
OA | 16 | View → |
| JRFC | REFUND RETURNED COB REQUEST CANCELLED. | — | OA | 22 | View → |
| LTC1 | PATIENT LIABILITY WAS APPLIED. | — | OA | 3 | View → |
| M3K | MAXIMUM BENEFIT OF $3000.00 PER CALENDAR YEAR HAS BEEN EXHAUSTED. |
N362
The number of Days or Units of Service exceeds our acc… |
OA | 119 | View → |
| MAMB | Modifer not within state transportation guidelines Eff: 1/1/17 | — | OA | 272 | View → |
| MCMB | Modifier & claim text note not within state transportation guidelines Eff: 1/1/17 | — | OA | 272 | View → |
| ME | MEMBER NOT ELIGIBLE ON DATES OF SERVICES. |
N30
Patient ineligible for this service. |
OA | 32 | View → |
| N619 | COVERAGE TERMINATED FOR NON-PAYMENT OF PREMIUM. |
N619
Coverage terminated for non-payment of premium. |
OA | 177 | View → |
Remark Codes (RARC) are used on the 835 ERA and paper EOB to provide supplemental information about a claim adjustment. They always accompany a CARC (denial code) and clarify the reason for payment differences.
A Denial Code (CARC) explains why payment was adjusted. A Remark Code (RARC) provides additional context or instructions. Both appear together on remittance — look for the CARC first, then the RARC for detail.
Search by code number or keyword, or filter by adjustment group (CO, PR, OA…). Click any code to see its full RA835 mapping, common causes, step-by-step resolution guide, and appeal tips.