HomeKnowledgeGlossaryCommunitySign in

Denial Code 210

CARC 210: Payment adjusted because pre-certification/authorization not received in a timely fashion

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

207
NPI - Invalid format
208
NPI - Not matched
209
Per regulatory or other agreement. The provider cannot collect this amount from the patien…
211
National Drug Codes not eligible for rebate, are not covered
212
Administrative surcharges are not covered
213
Non-compliance with the physician self referral prohibition legislation or payer policy

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