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CO-21 - Denial Journal
CARC CO — Contractual Obligation

CO-21

This injury/illness is the liability of the no-fault carrier

What This Code Means

The payer believes a no-fault auto insurance carrier is responsible for this claim.

Common Causes

  • Diagnosis/documentation suggests a motor vehicle accident
  • No-fault claim information missing from the payer's file

How to Resolve or Appeal

  1. Confirm whether a no-fault auto claim exists for this patient
  2. Bill the no-fault carrier if applicable, or appeal with clarification

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

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