Page 1 of 3 Implement Operating Rules – Phase III Electronic Remittance Advice (ERA) Electronic Funds Transfer (EFT): Committee on Operating Rules for Information Exchange (CORE) 360 Uniform Use of Claim Adjustment Reason Codes (CARC), Remittance Advice Remark Codes (RARC) and Claim Adjustment Group Code (CAGC) Rule – Update from Council for Affordable Quality Healthcare (CAQH) CORE
This Article comprises Sub-regulatory guidance for Medicare system updates based on the Committee on Operating Rules for Information Exchange (CORE) 360 Uniform use of Claims Adjustment Reason Code (CARC), Remittance Advice Remark Code (RARC), and Claim Adjustment Reason Code (CAGC) rule publications. These system updates are based on the CORE Code Combination List to be published on or about February 1, 2021. MLN Matters (MM) Articles are based on Change Requests (CRs). Special Edition (SE) Articles clarify existing policy. In this case, this Article is based on content within CR11988 that is posted on the CMS website.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: November 23, 2020
DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.