CARC codes

Every denied or adjusted claim comes back from the payer with a standardized code explaining why, a Claim Adjustment Reason Code (CARC). It's used industry-wide, across Medicare, Medicaid, and commercial payers, so the same code means the same thing no matter which payer sent it. Jiro rolls the most common codes, by volume, into a handful of plain-language categories so you see a readable pattern instead of a list of codes, with less-common reasons grouped into "Other."

Where this shows up:

Denial Intelligence's reason categories (like "Missing information or billing error") are built from CARC codes. The category label is what's shown by design; clicking or hovering over a slice of the breakdown will show the specific CARC code behind it.