Reason Code 7R046

Reason Code Narrative

No response to a medical records request- This is a RAC determination

Common Reason Code Errors

  • No response to a medical records request.
  • Documentation requested was not received or was not received timely.

Common Reason Code Corrections

  • Review your Recovery Auditor Contractor (RAC) findings letter and respond to medical records request timely.
  • Review National Coverage Determination (NCD) and the Local Coverage Determination (LCD) as applicable.
  • A Redetermination may be submitted if provider feels that sending in documentation will support need for service(s). The redetermination should include:
    • All applicable supporting medical documentation
    • Corrected UB-04 claim form
  • Direct Data Entry (DDE) users can view remarks section for additional clarification.



Last Updated Oct 17 , 2022