Rural Health Centers (RHCs), Federally Qualified Health Centers (FQHCs), and School Health Centers (SHCs) Claim Denials

September 4, 2012

Claims for procedure codes 90850 or 90853 from Indian Heath Centers (IHC), Rural Health Centers (RHC), Federally Qualified Health Centers (FQHC) and School Health Centers (SHC) were previously denied for the following denial reasons:

  • CARC (125) – Submission/billing error(s). At least one remark code must be provided. May be comprised of either the NCPDP Reject Code or RARC that is not an alert.

  • RARC (N56) – Procedure code billed is not correct/valid for the services billed or the date of service billed.

You can now resubmit affected claims.

If you have any questions regarding these claims, please contact Provider Services at 1-866-690-5585.