WebRFI Response. While the guide is silent on this explicit issue, the intent is that the Claim Adjustment Reason Codes (CARCs) be used to accurately report the adjustments. CARC 45 currently reads “Charge exceeds fee schedule/maximum allowable or contracted/legislated fee arrangement. (Use only with Group Codes PR or CO depending upon liability http://www.wcb.ny.gov/CMS-1500/WCB-CARC-RARC-codes.pdf
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WebAug 31, 2024 · We receive many MSP claims with the incorrect insurance type reported. It is extremely important to report the correct MSP insurance type on a claim. Some examples of incorrect MSP insurance types are: • Reporting MSP type 47 (liability) as a default code. • Reporting MSP type 12 (WA) instead of 43 (disability) or 13 (ESRD) http://www.gotbnc.com/ WebMar 26, 2024 · An updated remittance advice remark code (RARC) and claim adjustment reason code (CARC) “Codes.ini” file is now available for the provider/supplier community to import into their current version of Medicare Remit Easy Print (MREP) software. To download the updated “Codes.ini” file, please follow these steps: 1. freight frenzy ftc field