Claim Paid at Maximum Allowed Amount - JF Part B
Claim Paid at Maximum Allowed Amount
| CARC/RARC | Description |
|---|---|
| Charge exceeds fee schedule/maximum allowable or contracted/legislated fee arrangement |
Common Reasons for Message
Note: This is NOT a denial but a pay message.
- Item or service paid Medicare allowed amount
- Item or service paid to patient's deductible and/or coinsurance
- Item or services paid with partial units
Next Step
- Review claim status prior to submitting a Redetermination request, check Interactive Voice Response (IVR) or the Noridian Medicare Portal (NMP)
- Review to see if payment went towards patient's deductible
- Submit Appeal request - Items or services with this message have appeal rights
- Redetermination request can be submitted with applicable supporting documentation
- Noridian encourages submission of Redetermination requests using the Noridian Medicare Portal
Last Updated Dec 09 , 2023
