CARCNon-Covered

CARC 96: Non-covered charge(s). At least one Remark Code must accompany this code.

This charge is not covered, and the accompanying remark code explains why.

What this means for your claim

Code 96 is a broad non-covered indicator that must always appear with a RARC (Remark Code) explaining the specific reason. Look at the remark code on the same line of your EOB for the actual explanation.

What to do next

  1. 1

    Find the accompanying RARC (remark code) on your EOB — it is the actual reason for denial.

  2. 2

    Reference that RARC to understand what specific rule or exclusion applies.

  3. 3

    If the remark code cites an exclusion you believe doesn't apply, contact member services or file an appeal.

Related guides

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