Remittance Advice (RA) Notices

12.4 - Remittance Advice (RA) Notices (Rev.3848, Issued: 08- 25-17, Effective: 09-26-17, Implementation: 09- 26-17) Contractors shall use the appropriate claim RA(s) when denying payment for counseling to prevent tobacco use services. The following messages are used where applicable: • If the counseling services were furnished before August 25, 2010, use an appropriate RA claim adjustment reason code (CARC), such as, 26, “Expenses incurred prior to coverage.” • If the claim for counseling services is being denied because the coverage criteria are not met, use an appropriate CARC, such as, 272, Coverage/program guidelines were not met. • If the claim for counseling services is being denied because the maximum benefit has been reached, use an appropriate CARC, such as, 119, “Benefit maximum for this time period or occurrence has been reached.”