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Denial Code 106

CARC 106: Patient payment option/election not in effect

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

103
Provider promotional discount
104
Managed care withholding
105
Tax withholding
107
The related or qualifying claim/service was not identified on this claim
108
Rent/purchase guidelines were not met
109
Claim/service not covered by this payer/contractor. You must send the claim/service to the…

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