Denial code

CARC 96 denial code: meaning & whether to appeal

CARC 96: the exact X12 wording, how it is classified, and whether it is worth appealing.

Appealant EditorialX12 verified3 min read

What CARC 96 means

Non-covered charge(s).

Verbatim description from the official X12 Claim Adjustment Reason Codes list.

Classification

Routing category: non covered review

Appealability verdict

Depends on the companion remark code

What to know

This code is ambiguous on its own: the companion remittance-advice remark code determines whether the charge is excluded by contract or denied on grounds that can be disputed. Review the remark code before deciding what to do.

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