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OA-23 Denial Code — Impact of prior payer(s) adjudication including payments and/or adjustments – Denial Journal
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CARC

OA-23

CARC OA — Other Adjustment Coordination of Benefits
Quick Facts
Code
OA-23
Type
CARC
Category
Coordination of Benefits
Status
Active

Impact of prior payer(s) adjudication including payments and/or adjustments

What Does This Code Mean?

This adjustment reflects amounts already paid or adjusted by a prior payer in a coordination-of-benefits scenario; it is informational rather than a new denial.

Common Causes

  • Secondary payer processing after primary payer already paid
  • Claim correctly following COB sequencing

Recommended Next Steps

  1. Confirm the primary payer's EOB/835 matches what's reflected here
  2. No action typically needed if COB sequencing is correct
  3. Investigate only if the secondary payment doesn't reconcile with expectations

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

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