HomeKnowledgeGlossaryCommunitySign in

Denial Code 177

CARC 177: Patient has not met the required eligibility 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

174
Service was not prescribed prior to delivery
175
Prescription is incomplete
176
Prescription is not current
178
Patient has not met the required spend down requirements
179
Patient has not met the required waiting requirements
180
Patient has not met the required residency requirements

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