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Denial Code 136

CARC 136: Failure to follow prior payer's coverage rules

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

133
The disposition of this service line is pending further review
134
Technical fees removed from charges
135
Interim bills cannot be processed
137
Regulatory Surcharges, Assessments, Allowances or Health Related Taxes
139
Contracted funding agreement - Subscriber is employed by the provider of services. Use onl…
140
Patient/Insured health identification number and name do not match

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