Transcription of Commercial Remittance Advice Code Descriptions
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Commercial Remittance Advice Code Descriptions
Exp. CodeTextCARCRARC002 This charge exceeds the maximum allowable under this member's service is limited by the member's plan. Benefits were extended by our Utilization Management charge exceeds the maximum allowable under this member's coverage 4501 DProcessing of this claim was suspended awaiting information requested from this provider or for this service are limited to two times per contract year. 273N43503 DBenefits for this service are limited to one time per three-month for this service are limited to one time per thirty-six month charge exceeds the maximum allowable under this member's Secondary Allowed Units 9s9 Change Secondary Deductible Amount HIPAA-compliant electronic Remittance Advice (ANSI-835) will not use these explanation codes. The electronic Remittance Advice (ANSI-835) uses HIPAA-compliant remark and adjustment reason codes. Where appropriate, we have included the HIPAA-compliant remark and/or adjustment reason code that corresponds to a BlueCross BlueShield of Tennessee explanation code.
Exp. Code Text CARC RARC 002 This charge exceeds the maximum allowable under this member's coverage. 45 008 This service is limited by the member's plan.
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