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Denial Code 275

CARC 275: Prior payer's patient responsibility 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

272
Coverage/program guidelines were not met
273
Coverage/program guidelines were exceeded
274
Fee/Service not payable per patient Care Coordination arrangement
276
Services denied by the prior payer(s) are not covered by this payer
277
The disposition of the claim/service is undetermined during the premium payment grace peri…
278
Performance program proficiency requirements not met

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