HomeKnowledgeGlossaryCommunitySign in

Denial Code 245

CARC 245: Provider performance program withhold

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

241
Low Income Subsidy Co-payment Amount
242
Services not provided by network/primary care providers
243
Services not authorized by network/primary care providers
246
This non-payable code is for required reporting only
247
Deductible for Professional service rendered in an Institutional setting and billed on an …
248
Coinsurance for Professional service rendered in an Institutional setting and billed on an…

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