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 | |
|---|---|---|---|---|---|
| 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 PATIENTâS 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 → |
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.