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Denial Code 116

CARC 116: The advance indemnification notice signed by the patient did not comply with requirements

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

112
Service not furnished directly to the patient and/or not documented
114
Procedure/product not approved by the Food and Drug Administration
115
Procedure postponed, canceled, or delayed
117
Transportation is only covered to the closest facility that can provide the necessary care
118
ESRD network support adjustment
119
Benefit maximum for this time period or occurrence has been reached

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