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Denial Code 112

CARC 112: Service not furnished directly to the patient and/or not documented

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

109
Claim/service not covered by this payer/contractor. You must send the claim/service to the…
110
Billing date predates service date
111
Not covered unless the provider accepts assignment
114
Procedure/product not approved by the Food and Drug Administration
115
Procedure postponed, canceled, or delayed
116
The advance indemnification notice signed by the patient did not comply with requirements

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