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Variable: ACO-RED-RARC

Accountable Care Organization (ACO) Reduction Remittance Advice Remark Code

Source System Definition

If the claim has a demonstration code equal to “59” (Pioneer ACO Demonstration) or “68” (Pioneer ACO SNF), and provided service is from an outpatient provider (TOB equal to 12, 13, 14, 22, 23, 34, 71, 72, 74, 75, 76, 77, 81, 82, 85) or the service is for home health Part B; this field will identify the Remittance Advice Remark Code (RARC) returned to the provider advising this decision and possible appeal rights.

Other Info

  • Source System: FISS
  • Source Field: Accountable Care Organization (ACO) Reduction Remittance Advice Remark Code
  • Version: 0.12

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