decisionhealth Newsletters, Part B News - 2019 Issue 3 (March)
How to determine the meaning of RARCs
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Article Overview
This short article provides a high-level overview of Remittance Advice Remark Codes (RARCs) and their role in remittance advice processing. It introduces the two broad RARC categories, notes their historical relationship to Medicare and HIPAA, and gives general context for how they appear alongside other payment adjustment information. The article is aimed at readers who work with remittance advice, claims adjudication, or medical payment follow-up.
Why This Topic Matters
Understanding RARCs helps billing, coding, and reimbursement staff interpret remittance advice more accurately and recognize when additional payment explanation is being provided. It is useful for anyone reviewing claim adjustments, denials, or payer communication.
What You Will Learn
- The general purpose of RARCs in remittance advice
- The two broad categories of RARCs
- How RARCs fit into payment adjustment explanation and remittance processing
- The historical relationship between RARCs, Medicare, and HIPAA
Who Should Read This
- Medical coders
- Billing staff
- Reimbursement specialists
- Patient financial services staff
- Claims follow-up teams
Codes Discussed
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