Remittance Advice Remark · Note
RARC N172: Patient is responsible for the difference between the higher rate and the lower rate.
Patient owes the difference between the standard rate and the reduced reimbursement.
Code type
Remittance Advice Remark Code (RARC)
Category
Note
Source
X12 RARC list
What it means
The official X12 description: “Patient is responsible for the difference between the higher rate and the lower rate.”
In plain language: Patient owes the difference between the standard rate and the reduced reimbursement.
What to do
Verify benefit design. If this was an out-of-network surprise bill, NSA protections may apply.
Frequently asked questions
What does RARC N172 mean?
Patient is responsible for the difference between the higher rate and the lower rate. In plain language: Patient owes the difference between the standard rate and the reduced reimbursement.
What should I do when I see RARC N172?
Verify benefit design. If this was an out-of-network surprise bill, NSA protections may apply.
Commonly paired CARC codes
Sources
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