RARC MA130

The claim is unprocessable as submitted and no appeal rights apply until the claim is corrected and resubmitted.

Missing Information — The claim was missing required information or had a submission or billing error, so the payer could not process it. This is usually a correction, not an appeal.

CARCs this remark commonly accompanies on the ERA/EOB, per the AR Guide pairing data.

• CARC16CopyClaim/service lacks information or has submission/billing error(s). Usage: Do not use this code for claims attachment(s)/other documentation. At least one Remark Code must be provided (may be comprised of either the NCPDP Reject Reason Code, or Remittance Advice Remark Code that is not an ALERT.) Refer to the 835 Healthcare Policy Identification Segment (loop 2110 Service Payment Information REF), if present.
• CARC163CopyAttachment/other documentation referenced on the claim was not received.
• CARC206CopyNational Provider Identifier - missing.
• CARC208CopyNational Provider Identifier - Not matched.
• CARC226CopyInformation requested from the Billing/Rendering Provider was not provided or not provided timely or was insufficient/incomplete. At least one Remark Code must be provided (may be comprised of either the NCPDP Reject Reason Code, or Remittance Advice Remark Code that is not an ALERT.)
• CARC252CopyAn attachment/other documentation is required to adjudicate this claim/service. At least one Remark Code must be provided (may be comprised of either the NCPDP Reject Reason Code, or Remittance Advice Remark Code that is not an ALERT).

Spotted something outdated or incorrect in the AR Guide guidance or the official description? Flag it — the report becomes a review item for our team and never changes the published page directly.