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CO-185 Denial Code — The rendering provider is not eligible to perform the service billed – Denial Journal
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CARC

CO-185

CARC CO — Contractual Obligation Authorization
Quick Facts
Code
CO-185
Type
CARC
Category
Authorization
Status
Active

The rendering provider is not eligible to perform the service billed

What Does This Code Mean?

The payer’s records show the rendering provider isn’t eligible/credentialed to perform this specific service.

Common Causes

  • Provider's scope of practice doesn't cover this service per payer policy
  • Credentialing for this service type not yet complete

Recommended Next Steps

  1. Confirm scope-of-practice and credentialing requirements with the payer
  2. Bill under a qualifying provider if appropriate, or complete credentialing

More Denial Codes to Check

RARC M60 CARC CO-288 CARC CO-198 RARC M34 RARC N54 CARC CO-D9 CARC CO-284 RARC MA120 CARC CO-213 CARC CO-283 RARC MA54

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

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