RARC N16: Family/member Out-of-Pocket maximum has been met. Payment based on a higher percentage.
Family/member Out-of-Pocket maximum has been met. Payment based on a higher percentage.
What it means
The official X12 description: “Family/member Out-of-Pocket maximum has been met. Payment based on a higher percentage.”
In plain language: Family/member Out-of-Pocket maximum has been met. Payment based on a higher percentage.
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 N16 mean?
Family/member Out-of-Pocket maximum has been met. Payment based on a higher percentage. In plain language: Family/member Out-of-Pocket maximum has been met. Payment based on a higher percentage.
What should I do when I see RARC N16?
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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