RARC N55: Procedures for billing with group/referring/performing providers were not followed.
Procedures for billing with group/referring/performing providers were not followed.
What it means
The official X12 description: “Procedures for billing with group/referring/performing providers were not followed.”
In plain language: Procedures for billing with group/referring/performing providers were not followed.
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 N55 mean?
Procedures for billing with group/referring/performing providers were not followed. In plain language: Procedures for billing with group/referring/performing providers were not followed.
What should I do when I see RARC N55?
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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