RARC M97: Not paid to practitioner when provided to patient in this place of service. Payment included in the reimbursement issued the facility.
Not paid to practitioner when provided to patient in this place of service. Payment included in the reimbursement issued the facility.
What it means
The official X12 description: “Not paid to practitioner when provided to patient in this place of service. Payment included in the reimbursement issued the facility.”
In plain language: Not paid to practitioner when provided to patient in this place of service. Payment included in the reimbursement issued the facility.
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 M97 mean?
Not paid to practitioner when provided to patient in this place of service. Payment included in the reimbursement issued the facility. In plain language: Not paid to practitioner when provided to patient in this place of service. Payment included in the reimbursement issued the facility.
What should I do when I see RARC M97?
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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