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Denial Code 215

CARC 215: Based on subrogation of a third party settlement

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

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
216
Based on the findings of a review organization or the payer's findings
219
Based on extent of injury
222
Exceeds the contracted maximum number of hours/days/units by this provider for this period…

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