RARC N574 Active Supplemental

RARC N574: Ordering/Referring Provider Type Cannot Order or Refer

What This Means

The ordering or referring provider listed on the claim has a specialty or provider type that is not authorized to order or refer the billed services. Verify that the correct ordering/referring provider NPI and credentials are on the claim. If the provider information is correct, contact the payer to resolve the provider type/specialty issue in their records.

Disclaimer
This content is for informational purposes only. Always verify against your payer contracts and current coding guidelines.

Commonly Paired With

RARC N574 commonly appears alongside these CARC denial codes:

Code Name
CO-242 Services Not Provided by Network Provider (also PR-242, OA-242)
CO-243 Services Not Authorized by Network Provider (also PR-243, OA-243)

Sources

  1. X12.org