RARC N570: Missing or Invalid Provider Credentialing Data
The claim was denied because the provider's credentialing or enrollment information is missing or invalid in the payer's system — verify enrollment status for both billing and rendering providers and resolve any gaps.
What Does RARC N570 Mean?
RARC N570 indicates that the payer cannot process the claim because the billing or rendering provider's credentialing information does not meet the payer's requirements. This may mean the provider was not enrolled with the payer on the date of service, the enrollment has lapsed, or the credentialing data on file is incomplete or contains errors.
Credentialing issues can affect claims in several ways. A provider who recently joined a practice may not yet be enrolled with all payers. A provider whose license or certification expired — even briefly — may have a gap in their enrollment record. In group practice settings, the individual rendering provider must often be credentialed separately from the group, and a mismatch between the billing NPI and the rendering provider's enrollment status can trigger this denial.
N570 can also appear when a provider has moved to a new practice or location and the enrollment records have not been updated to reflect the change. Some payers require re-credentialing at set intervals, and failure to complete the re-credentialing process on time can result in claims being denied retroactively.
What to Do
Check the enrollment and credentialing status of both the billing provider (often the group or facility) and the rendering provider with the specific payer. Confirm that each provider's NPI, taxonomy code, and practice location are current and active in the payer's system for the date of service in question.
If you find an enrollment gap, contact the payer's provider enrollment department to determine the fastest path to resolution. Some payers allow retroactive enrollment for a limited window, which would allow you to resubmit the affected claims once the enrollment is active. For new providers, ensure credentialing applications are submitted well in advance of their start date to avoid a backlog of denied claims. Once the credentialing issue is resolved, resubmit the affected claims with the same information — no coding changes should be necessary.
Common Scenarios
- A newly hired provider begins seeing patients before their credentialing application with the payer is approved, resulting in denied claims for those early dates of service
- A provider's state license renewal is delayed, creating a brief lapse in the payer's enrollment records that causes claims to be denied during the gap
- A group practice adds a new location but does not update the enrollment records to include the new address, and claims from that site are denied
- The rendering provider's individual NPI is not separately enrolled with the payer, even though the group NPI is active
Commonly Paired With
No common pairings documented yet.