Most Common Denial Reasons
Below is a list of the 9 most common denial reasons, grouped by CARC code, that you may see on your Denial Intelligence page . All other reasons fall under “Other”.
|
CARC Code |
Category |
|---|---|
| 16 | Missing information or billing error. |
| 96 | Non-covered charge(s). |
| 197 | Required authorization/precertification missing. |
| 109 | Not covered by payer. |
| 29 | Timely filing expired. |
| 252 | Additional documentation required. |
| 129 | Prior processing information incorrect. |
| 4 | Procedure/modifier mismatch or missing modifier. |
| B7 | Provider not eligible for payment on service date |