RARCN130ReferenceCurrentVerified Aug 15, 2026RARC N130
AR Guide Workflow
Non-Covered Services
The service is not covered under the patient's benefit plan — an exclusion, a coverage limit, or a service the plan simply does not include.
AR Guide explanation
What it means
The payer is pointing to the plan benefit documents for the restriction that applies.
AR Guide knowledge
Common denial category
Non-Covered Services — The service is not covered under the patient's benefit plan — an exclusion, a coverage limit, or a service the plan simply does not include.
AR Guide knowledge
Common usage
- Accompanying coverage or benefit denials to indicate the plan document controls
- Seen with CARC 204 and other benefit/coverage adjustments
About this guidance: Note
AR Guide knowledge is general reference content written by our team — it is not payer-specific policy and never replaces the payer’s documentation or your contract. Always confirm specifics with the payer.
Reference
Commonly paired CARCs
CARCs this remark commonly accompanies on the ERA/EOB, per the AR Guide pairing data.
CARC1Deductible AmountCARC2Coinsurance AmountCARC3Co-payment AmountCARC22This care may be covered by another payer per coordination of benefits.CARC23The impact of prior payer(s) adjudication including payments and/or adjustments. (Use only with Group Code OA)CARC27Expenses incurred after coverage terminated.CARC31Patient cannot be identified as our insured.CARC49This is a non-covered service because it is a routine/preventive exam or a diagnostic/screening procedure done in conjunction with a routine/preventive exam. Usage: Refer to the 835 Healthcare Policy Identification Segment (loop 2110 Service Payment Information REF), if present.CARC96Non-covered charge(s). 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.) Usage: Refer to the 835 Healthcare Policy Identification Segment (loop 2110 Service Payment Information REF), if present.CARC107The related or qualifying claim/service was not identified on this claim. Usage: Refer to the 835 Healthcare Policy Identification Segment (loop 2110 Service Payment Information REF), if present.CARC109Claim/service not covered by this payer/contractor. You must send the claim/service to the correct payer/contractor.CARC119Benefit maximum for this time period or occurrence has been reached.CARC167This (these) diagnosis(es) is (are) not covered. Usage: Refer to the 835 Healthcare Policy Identification Segment (loop 2110 Service Payment Information REF), if present.CARC170Payment is denied when performed/billed by this type of provider. Usage: Refer to the 835 Healthcare Policy Identification Segment (loop 2110 Service Payment Information REF), if present.CARC174Service was not prescribed prior to delivery.CARC176Prescription is not current.CARC177Patient has not met the required eligibility requirements.CARC180Patient has not met the required residency requirements.CARC200Expenses incurred during lapse in coverageCARC201Patient is responsible for amount of this claim/service through 'set aside arrangement' or other agreement. (Use only with Group Code PR) 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.)CARC202Non-covered personal comfort or convenience services.CARC204This service/equipment/drug is not covered under the patient's current benefit planCARC209Per regulatory or other agreement. The provider cannot collect this amount from the patient. However, this amount may be billed to subsequent payer. Refund to patient if collected. (Use only with Group code OA)CARC238Claim spans eligible and ineligible periods of coverage, this is the reduction for the ineligible period. (Use only with Group Code PR)CARC239Claim spans eligible and ineligible periods of coverage. Rebill separate claims.CARC242Services not provided by network/primary care providers.CARC254Claim received by the dental plan, but benefits not available under this plan. Submit these services to the patient's medical plan for further consideration.CARC272Coverage/program guidelines were not met.CARC275Prior payer's (or payers') patient responsibility (deductible, coinsurance, co-payment) not covered. (Use only with Group Code PR)CARC291Claim received by the medical plan, but benefits not available under this plan. Claim has been forwarded to the patient's dental plan for further consideration.CARC292Claim received by the medical plan, but benefits not available under this plan. Claim has been forwarded to the patient's pharmacy plan for further consideration.
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