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B7 Denial Code — Provider not certified/eligible to be paid for this procedure/service on this date – Denial Journal
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CARC

B7

CARC Authorization
Quick Facts
Code
B7
Type
CARC
Category
Authorization
Status
Active

Provider not certified/eligible to be paid for this procedure/service on this date

What Does This Code Mean?

The rendering provider wasn’t certified or eligible to be paid for this specific procedure on the billed date of service.

Common Causes

  • Credentialing with this payer not finalized as of the date of service
  • Provider's certification for a specific procedure type lapsed or wasn't yet approved

Recommended Next Steps

  1. Confirm the provider's credentialing/certification effective dates with the payer
  2. Appeal with proof of active certification if the payer's records are incorrect

More Denial Codes to Check

RARC N41 RARC M62 CARC CO-P17 RARC N92 RARC M91 RARC M141 RARC M142 CARC CO-283 RARC MA54 CARC CO-P16 CARC CO-185 RARC MA51

Educational reference only — not medical or legal advice. Always confirm code usage and appeal rights with the specific payer.

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