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CARC & RARC Denial Code Lookup – Page 55 – Denial Journal

CARC & RARC Denial Code Lookup

Find the reason behind a claim denial, adjustment, or payment issue — and quickly understand what the code means and what to review next.

Popular searches:
768
Total Codes
383
CARC Codes
385
RARC Codes

What are you looking for?

Browse denial codes by category.

Authorization 42 codes Coding/Modifier 175 codes Coordination of Benefits 20 codes Documentation 24 codes Duplicate/Timely Filing 4 codes Eligibility 30 codes General 364 codes Informational Alert 45 codes Medical Necessity 18 codes Non-Covered 46 codes

Search the Denial Code Library

Enter a CARC, RARC, or keyword above to find related denial information.

Try: CO-45 · duplicate · eligibility · authorization

Browse All Codes

CARC OA-277 General → CARC OA-P11 General → CARC PI-B7 Provider not certified/eligible to be paid for this service on this date Authorization → CARC PR-1 Deductible amount Non-Covered → CARC PR-2 Coinsurance amount Non-Covered → CARC PR-201 General → CARC PR-204 Service/equipment/drug not covered under the patient's current benefit plan Non-Covered → CARC PR-238 Eligibility → CARC PR-275 Non-Covered → CARC PR-3 Co-payment amount Non-Covered → CARC PR-85 General → CARC PR-P3 General →

Denial Workflow

Denial Received → Identify Code → Understand Reason → Check Claim → Correct / Appeal → Resubmit
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