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 | |
|---|---|---|---|---|---|
| JCIB | RECOUPMENT MADE DUE TO AN INCORRECT BENEFIT PREVIOUSLY PAID. |
MA130
Your claim contains incomplete and/or invalid informat… |
CO | 129 | View → |
| JCIP | RECOUPMENT MADE DUE TO INCORRECT PAYOR. |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 96 | View → |
| JCME | RECOUPMENT DUE TO MEMBER NOT ELIGIBLE ON DATES OF SERVICE. | — | OA | 27 | View → |
| JCPE | RECOUPMENT MADE DUE TO CLAIM PAID IN ERROR |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 96 | View → |
| JCPL | RECOUPEMENT MADE DUE TO PRIMARY INSURANCE PAYMENT LESS THAN THE PAYABLE BENEFIT. ADDITIONAL PAYMEN… | — | CO | 45 | View → |
| JCR | REFUND DUE TO CODE BEING A COMPOUND PROCEDURE, PAYMENT INCLUDED WITH COMPREHENSIVE PROCEDURE CODE. |
M15
Separately billed services/tests have been bundled as … |
CO | 97 | View → |
| JEO | RECOUP IS BEING DONE ON THIS CLAIM DUE TO OTHER INSURANCE NOTIFICATION. PLEASE RESUBMIT THE PRIMAR… |
N479
Missing Explanation of Benefits (Coordination of Benef… |
CO | 252 | View → |
| JF18 | DUPLICATE PAYMENT. |
M86
Service denied because payment already made for same/s… |
CO | 97 | View → |
| JF46 | REFUND RECEIVED . CLAIMS PAID BY PRIMARY INSURANCE | — | CO | 22 | View → |
| JFBE | REFUND RECEIVED DUE TO INCORRECT SUBMISSION/BILLING ERROR. |
MA130
Your claim contains incomplete and/or invalid informat… |
CO | 129 | View → |
| JFCE | REFUND RECEIVED DUE TO CLAIM PAID IN ERROR |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 96 | View → |
| JFDR | A REFUND WAS RECEIVED PREVIOUSLY FOR THIS CLAIM AND WAS POSTED. DUPLICATE REFUND IS NOW BEING RE-… |
MA131
Physician already paid for services in conjunction wit… |
CO | 195 | View → |
| JFFS | REFUND HAS BEEN MADE DUE TO AN UPDATE TO THE PROVIDER'S FEE SCHEDULE WHICH NOW RESULTED IN AN OVERP… | — | CO | 45 | View → |
| JFIB | REFUND RECEIVED DUE TO AN INCORRECT BENEFIT PREVIOUSLY PAID. |
MA130
Your claim contains incomplete and/or invalid informat… |
CO | 129 | View → |
| JFIP | REFUND RECEIVED DUE TO CLAIM PAID TO THE INCORRECT PROVIDER. |
MA130
Your claim contains incomplete and/or invalid informat… |
CO | 129 | View → |
| JFNP | PAYER REFUND AMOUNT - NOT OUR PATIENT. | — | CO | 31 | View → |
| JFPC | A REFUND WAS RECEIVED FOR THIS CLAIM THAT WAS PREVIOUSLY PAID CORRECTLY. BENEFITS ARE NOW BEING RE… | — | OA | 45 | View → |
| JFPL | REFUND RECEIVED DUE TO PRIMARY INSURANCE PAYMENT LESS THAN PAYABLE BENEFIT. ADDITIONAL PAYMENT IS … | — | CO | 45 | View → |
| JFPP | SUBROGATION REFUND RECEIVED. CLAIM PAID BY MOTOR VEHICLE INSURANCE, WORKERS COMPENSATION OR OTHER I… |
N573
Alert: You have been overpaid and must refund the over… |
CO | 45 | View → |
| JFRP | A REFUND CHECK HAS BEEN RECEIVED FOR BENEFITS THAT HAVE BEEN RECOUPED FOR THIS PROVIDER. REFUND PA… | — | CO | 45 | View → |
| JIBR | INTERIM BILL RECEIVED. CLAIMS WILL BE REVIEWED UPON RECEIPT OF THE FINAL BILL WITH ITEMIZED STATEM… | — | CO | 135 | View → |
| JIHS | RECOUPMENT DUE TO THIS PROCEDURE WHICH IS NOT PAYABLE IN AN INPATIENT AND OUTPATIENT SETTING. |
N657
This should be billed with the appropriate code for th… |
CO | 16 | View → |
| JIMI | RECOUPMENT DUE TO THE ORIGINAL CLAIM BEING PROCESSED UNDER THE INCORRECT MEMBER OR INCORRECT MEMBER… | — | CO | 140 | View → |
| JIPE | RETURNING INTEREST TAKEN IN ERROR. | — | OA | 85 | View → |
| JMID | REFUND DUE TO THE ORIGINAL CLAIM BEING PROCESSED UNDER THE INCORRECT MEMBER OR INCORRECT MEMBER ID … | — | CO | 140 | View → |
| JMNE | REFUND RECEIVED DUE TO MEMBER NOT ELIGIBLE ON DATES OF SERVICE. |
MA130
Your claim contains incomplete and/or invalid informat… |
CO | 129 | View → |
| JOPO | RECOUPMENT DUE TO AN OVERPAYMENT ON THIS CLAIM THE NEGATIVE AMOUNT IS AN OFFSET OF PAYMENT | — | CO | 45 | 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 → |
| JPPI | RECOUPMENT DUE TO PREVIOUSLY PAID INTEREST | — | CO | 225 | View → |
| JRCT | REFUND IS DUE TO EXPENSES INCURRED AFTER COVERAGE WAS TERMINATED. |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 96 | View → |
| JREC | PAYMENT FOR SERVICE WAS NOT PROCESSED IN ACCORDANCE WITH THE PLAN RULES, RESULTING IN AN OVERPAYMEN… |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 96 | View → |
| JREF | REFUND RECEIVED |
N245
Incomplete/invalid plan information for other insuranc… |
CO | 16 | View → |
| JRFC | REFUND RETURNED COB REQUEST CANCELLED. | — | OA | 22 | View → |
| JRR | A REFUND WAS RECEIVED AND IS BEING RETURNED AS THE CLAIM WAS PROCESSED CORRECTLY. |
N381
Alert: Consult our contractual agreement for restricti… |
CO | 45 | View → |
| L120 | SERVICE EXCEEDS QUANTITY LIMITATIONS. T4535 ARE LIMITED TO 120 EVERY 30 DAYS |
N640
Exceeds number/frequency approved/allowed within time … |
CO | 119 | View → |
| L150 | SERVICE EXCEEDS QUANTITY LIMITATIONS. T4541 ARE LIMITED TO 150 EVERY 30 DAYS |
N640
Exceeds number/frequency approved/allowed within time … |
CO | 119 | View → |
| L200 | SERVICE EXCEEDS QUANTITY LIMITATIONS. INCONTINENCE SUPPLIES ARE LIMITED TO 200 EVERY 30 DAYS |
N640
Exceeds number/frequency approved/allowed within time … |
CO | 119 | View → |
| LCHG | SERVICES PAID ACCORDING TO PROVIDER CONTRACT. NO ADDITIONAL PAYMENT DUE. | — | CO | 20 | View → |
| LEOB | EOB RECEIVED IS NOT LEGIBLE. |
N479
Missing Explanation of Benefits (Coordination of Benef… |
CO | 16 | View → |
| LOA | PAID IN ACCORANCE WITH LETTER OF AGREEMENT. |
N381
Alert: Consult our contractual agreement for restricti… |
CO | P6 | View → |
| LTC1 | PATIENT LIABILITY WAS APPLIED. | — | OA | 3 | 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.