RARC M12: Diagnostic tests performed by a physician must indicate whether purchased services are included on the claim.
Diagnostic tests performed by a physician must indicate whether purchased services are included on the claim.
What it means
The official X12 description: “Diagnostic tests performed by a physician must indicate whether purchased services are included on the claim.”
In plain language: Diagnostic tests performed by a physician must indicate whether purchased services are included on the claim.
What to do
Read the accompanying CARC for the primary denial reason; this RARC adds detail. Appeal or correct based on the CARC's appealability.
Frequently asked questions
What does RARC M12 mean?
Diagnostic tests performed by a physician must indicate whether purchased services are included on the claim. In plain language: Diagnostic tests performed by a physician must indicate whether purchased services are included on the claim.
What should I do when I see RARC M12?
Read the accompanying CARC for the primary denial reason; this RARC adds detail. Appeal or correct based on the CARC's appealability.
Related
Sources
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