RARC N109: This claim/service was chosen for complex review and was denied after reviewing the medical records.
This claim/service was chosen for complex review and was denied after reviewing the medical records.
What it means
The official X12 description: “This claim/service was chosen for complex review and was denied after reviewing the medical records.”
In plain language: This claim/service was chosen for complex review and was denied after reviewing the medical records.
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 N109 mean?
This claim/service was chosen for complex review and was denied after reviewing the medical records. In plain language: This claim/service was chosen for complex review and was denied after reviewing the medical records.
What should I do when I see RARC N109?
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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