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RARC — Remittance Advice Remark Codes

Remark Codes — Complete List & Lookup

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.

2,992
Total Remark Codes
3
Adjustment Groups
835
RA835 Mapped
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Looking for Denial Codes (CARC)?

Browse Claim Adjustment Reason Codes — the codes that explain why a payment was reduced or denied.

Showing 151–172 of 172 remark codes in group OA
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Remark Code Description RA835 Code Group Reason Code
61 PENALTY FOR FAILURE TO OBTAIN SECOND SURGICAL OPINION. N174
This is not a covered service/procedure/ equipment/bed…
OA 61 View →
66 BLOOD DEDUCTIBLE. OA 66 View →
100 PAYMENT MADE TO PATIENT/INSURED/RESPONSIBLE PARTY/EMPLOYER. OA 100 View →
119 BENEFIT MAXIMUM FOR THIS TIME PERIOD OR OCCURRENCE HAS BEEN REACHED. N362
The number of Days or Units of Service exceeds our acc…
OA 119 View →
128 NEWBORN'S SERVICES ARE COVERED IN THE MOTHER'S ALLOWANCE. N174
This is not a covered service/procedure/ equipment/bed…
OA 128 View →
140 PATIENT/INSURED HEALTH IDENTIFICATION NUMBER AND NAME DO NOT MATCH. OA 140 View →
142 MONTHLY MEDICAID PATIENT LIABILITY AMOUNT. OA 142 View →
149 LIFETIME BENEFIT MAXIMUM HAS BEEN REACHED FOR THIS SERVICE/BENEFIT CATEGORY. N362
The number of Days or Units of Service exceeds our acc…
OA 149 View →
160 INJURY/ILLNESS WAS THE RESULT OF AN ACTIVITY THAT IS A BENEFIT EXCLUSION. N174
This is not a covered service/procedure/ equipment/bed…
OA 160 View →
166 THESE SERVICES WERE SUBMITTED AFTER THIS PAYERS RESPONSIBILITY FOR PROCESSING CLAIMS UNDER THIS PLA… N30
Patient ineligible for this service.
OA 166 View →
168 SERVICE(S) HAVE BEEN CONSIDERED UNDER THE PATIENT'S MEDICAL PLAN. BENEFITS ARE NOT AVAILABLE UNDER … N174
This is not a covered service/procedure/ equipment/bed…
OA 168 View →
169 ALTERNATE BENEFIT HAS BEEN PROVIDED. OA 169 View →
187 HEALTH SAVINGS ACCOUNT PAYMENTS OA 187 View →
191 NOT A WORK RELATED INJURY/ILLNESS AND THUS NOT THE LIABILITY OF THE WORKERS' COMPENSATION CARRIER. N418
Misrouted claim. See the payer's claim submission ins…
OA 19 View →
200 EXPENSES INCURRED DURING LAPSE IN COVERAGE N30
Patient ineligible for this service.
OA 200 View →
202 NON-COVERED PERSONAL COMFORT OR CONVENIENCE SERVICES. N174
This is not a covered service/procedure/ equipment/bed…
OA 202 View →
204 THIS SERVICE/EQUIPMENT/DRUG IS NOT COVERED UNDER THE PATIENT’S CURRENT BENEFIT PLAN N174
This is not a covered service/procedure/ equipment/bed…
OA 204 View →
224 PATIENT IDENTIFICATION COMPROMISED BY IDENTITY THEFT. IDENTITY VERIFICATION REQUIRED FOR PROCESSING… N30
Patient ineligible for this service.
OA 224 View →
6003 APPLIED TO THE INDIVIDUAL IN-NETWORK DEDUCTIBLE. OA 1 View →
6008 APPLIED TO THE FAMILY IN-NETWORK DEDUCTIBLE. OA 1 View →
6011 APPLIED TO YOUR INDIVIDUAL IN-NETWORK OUT OF POCKET. OA 2 View →
6012 APPLIED TO YOUR IN-NETWORK FAMILY OUT OF POCKET. OA 2 View →
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What is a Remark Code?

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.

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Remark Code vs. Denial Code

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.

How to Use This List

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.