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Denial Code 247

CARC 247: Deductible for Professional service rendered in an Institutional setting and billed on an Institutional claim

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

243
Services not authorized by network/primary care providers
245
Provider performance program withhold
246
This non-payable code is for required reporting only
248
Coinsurance for Professional service rendered in an Institutional setting and billed on an…
249
This claim has been identified as a readmission
250
The attachment/other documentation that was received was the incorrect attachment/document…

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