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Denial Code 211

CARC 211: National Drug Codes not eligible for rebate, are not covered

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

208
NPI - Not matched
209
Per regulatory or other agreement. The provider cannot collect this amount from the patien…
210
Payment adjusted because pre-certification/authorization not received in a timely fashion
212
Administrative surcharges are not covered
213
Non-compliance with the physician self referral prohibition legislation or payer policy
215
Based on subrogation of a third party settlement

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