RARC M115: This item is denied when provided to this patient by a non-contract or non-demonstration supplier.
Item was provided by an out-of-network DME supplier or non-demonstration provider for a covered item.
What it means
The official X12 description: “This item is denied when provided to this patient by a non-contract or non-demonstration supplier.”
In plain language: Item was provided by an out-of-network DME supplier or non-demonstration provider for a covered item.
What to do
Use a contracted supplier OR appeal showing the network supplier was unavailable.
Frequently asked questions
What does RARC M115 mean?
This item is denied when provided to this patient by a non-contract or non-demonstration supplier. In plain language: Item was provided by an out-of-network DME supplier or non-demonstration provider for a covered item.
What should I do when I see RARC M115?
Use a contracted supplier OR appeal showing the network supplier was unavailable.
Commonly paired CARC codes
Sources
Contact: hello@approvalhelp.com