We do not issue benefit exhaust letters. This information will appear on your remittance advice. We’ve included the link to X12, which contains links to various code lists, including claim adjustment reason codes (CARCs); remittance advice remark codes (RARCs); provider adjustment reason codes; claim status codes; and much more.
Examples of what you may see on the remittance advice for benefits exhaust are listed below:
- Claim status code: 432 - Date benefits exhausted
- CARC 78 - Non-covered days/Room charge adjustment.
- RARC N374 - Primary Medicare Part A insurance has been exhausted and a Part B Remittance Advice is required.
- RARC N587 - Policy benefits have been exhausted.
- CARC 119 - Benefit maximum for this time period or occurrence has been reached.
Reference