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Denial Code 285

CARC 285: Appeal procedures not followed

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

282
The procedure/revenue code is inconsistent with the type of bill
283
Attending provider is not eligible to provide direction of care
284
preauth/notification number may be valid but does not apply to the billed services
286
Appeal time limits not met
287
Referral exceeded
288
Referral absent

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