Jan 1, 1995 · These codes describe why a claim or service line was paid differently than it was billed. Did you receive a code from a health plan, such as: PR32 or CO286? If so read About …

Mar 13, 2025 · You can find the list of all claim adjustment reason code along with their detailed description and current status.

Apr 17, 2024 · Claim Adjustment Reason Codes (CARCs) are standardized codes used in the medical billing and healthcare industry to explain the reasons for adjustments or denials made …

A Claims Adjustment Reason Code (CARC) provides the reason why a claim or service has been adjusted or denied by a payer, helping providers understand payment decisions.

Jun 11, 2025 · View adjustment reason codes which are required on Direct Data Entry (DDE) adjustments Type of Bill (TOB) XX7 and are entered on page 3 of DDE. Adjustment Reason …

Sep 10, 2024 · At the provider level, adjustments are usually not related to any specific claim in the remittance advice, and Provider Level Balance (PLB) reason codes are used to explain the …

See a complete list of all current and deactivated Claim Adjustment Reason Codes and Remittance Advice Remark Codes on the X12.org website. (These code lists were previously …

These codes provide additional explanation for an adjustment already described by a Claim Adjustment Reason Code (CARC) or convey information about remittance processing.

Jul 16, 2025 · Claim Adjustment Reason Codes (CARCs) are standard codes used in the healthcare industry to communicate why a claim or service line was paid differently than it was …

Sep 18, 2023 · Claim adjustment reason codes detail the reason why an adjustment was made to a health care claim payment by the payer, while remittance remark codes represent non …