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Denial Code 228

CARC 228: Denied for failure of this provider, another provider or the subscriber to supply requested information to a previous payer for their adjudication

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

225
Penalty or Interest Payment by Payer
226
Information requested from the billing/rendering provider missing/incomplete or late. Rema…
227
Information requested from the patient/insured was missing/incomplete. Remark code require…
229
Partial charge amount not considered by Medicare due to the initial claim Type of Bill bei…
231
Mutually exclusive procedures cannot be done in the same day/setting
232
Institutional Transfer Amount

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