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CO-24 - Denial Journal
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CARC

CO-24

CARC CO — Contractual Obligation Non-Covered
Quick Facts
Code
CO-24
Type
CARC
Category
Non-Covered
Status
Active

Charges covered under a capitation agreement/managed care plan

What Does This Code Mean?

The service is included in a capitated payment arrangement, so no additional fee-for-service payment applies.

Common Causes

  • Patient is enrolled under a capitation arrangement with this provider/group
  • Service billed fee-for-service in error

Recommended Next Steps

  1. Confirm the capitation agreement covers this service
  2. Do not bill the patient beyond any applicable cost-share

More Denial Codes to Check

CARC CO-258 CARC CO-303 CARC CO-53 CARC CO-269 RARC M82 CARC CO-78 RARC MA20 RARC N87 RARC M80 CARC CO-160 CARC CO-48 CARC CO-149

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

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