RARCM25ReferenceCurrentVerified Aug 15, 2026

RARC M25

No specific AR Guide workflow has been assigned yet

We haven’t written AR Guide notes for RARC M25 yet. The reference description in the sidebar is complete and sourced from ASC X12. Search the denial guides for the workflow you need.

Reference

Reference details

Code: M25
Type: Supplemental
X12 status: Active
Effective: Jan 1, 1997
Last modified: Nov 1, 2010

Reference

Reference description

The information furnished does not substantiate the need for this level of service. If you believe the service should have been fully covered as billed, or if you did not know and could not reasonably have been expected to know that we would not pay for this level of service, or if you notified the patient in writing in advance that we would not pay for this level of service and he/she agreed in writing to pay, ask us to review your claim within 120 days of the date of this notice. If you do not request an appeal, we will, upon application from the patient, reimburse him/her for the amount you have collected from him/her in excess of any deductible and coinsurance amounts. We will recover the reimbursement from you as an overpayment.

External reference text from ASC X12. AR Guide does not alter official descriptions.

Source & review

Data quality

Source: ASC X12 Remittance Advice Remark Codes
Verify: Open source page ↗
Last checked: Aug 15, 2026
Status: Verified

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