HomeKnowledgeGlossaryCommunitySign in

Denial Code 104

CARC 104: Managed care withholding

This is a Claim Adjustment Reason Code (CARC). CARCs explain why a payer adjusted or denied a claim line and appear with a group code (CO, PR, OA, PI). Codes appear on the EOB / ERA after a claim is adjudicated.

Reference only — CARC/RARC are national code sets updated periodically. Verify against the current official list before acting on a denial or appeal.

Related CARC codes

101
Predetermination: anticipated payment upon completion of services or claim adjudication
102
Major Medical Adjustment
103
Provider promotional discount
105
Tax withholding
106
Patient payment option/election not in effect
107
The related or qualifying claim/service was not identified on this claim

← Back to the full denial codes lookup · POS codes · glossary