Implement Operating Rules - Phase III Electronic Remittance Advice (ERA) Electronic Funds Transfer (EFT): Committee on Operating Rules for Information Exchange (CORE) 360 Uniform Use of Claim Adjustment Reason Codes (CARC), Remittance Advice Remark Codes (RARC) and Claim Adjustment Group Code (CAGC) Rule - Update from Council for Affordable Quality Health Care (CAQH) CORE


HHS adopted the Phase III CAQH CORE, EFT and ERA Operating Rule Set started on January 1, 2014, under the Patient Protection sections in 45 Code of Federal Regulations (CFR) 162.1601-162.1603 and Section 1104 of the Affordable Care Act. CAQH CORE will publish the next version of the Code Combination List on or about October 1, 2021. This is based on the CARC and RARC updates as posted on the official ASC X12 website on or about July 1, 2021. 





Last Updated: 09/08/2021