classification

classification

RevStat has the ability to interpret and classify denials using CARC and RARC codes.

Medco’s unique filtering mechanisms allows drill down to the RARC codes to quickly identify true issue with claim denial, when a generic denial CARC code is given.  For example, CO-16 has a general description that tells the provider that the claim lacks information or has billing error(s). In this example, we are able to drill down to the RARC codes which shows a more detailed description for the denial. Such as, claim was missing NDC or missing value codes.