Remittance Advice Remark Codes (RARCs)

It is important to check your Medicare remittance for the following RARCs for each provider in your group so that you understand the payment reductions set forth for non-participation in the government programs.  The reduction amounts will increase yearly based upon your current year of participation. 

• CO-237 – Legislated/Regulatory Penalty. At least one Remark Code must be provided (may be comprised of either the NCPDP Reject Reason Code, or Remittance Advice Remark Code that is not an ALERT.)   This is E-prescribing and PQRS.
• N699 – Payment adjusted based on the PQRS Incentive Program.
• N545 – Payment reduced based on status as an unsuccessful e-prescriber per the eRx Incentive Program.
• N700 – Payment reduced for MU penalty.

NOTE: CO-237 is used for all 3 penalties and the remark code identifies which penalty it relates to.