HomeKnowledgeGlossaryCommunitySign in

Denial Code 292

CARC 292: Claim received by the medical plan, but benefits not available under this plan. Claim has been forwarded to the patient's pharmacy plan for further consideration

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

289
Services considered under the dental and medical plans, benefits not available
290
Claim received by the dental plan, but benefits not available under this plan. Claim has b…
291
Claim received by the medical plan, but benefits not available under this plan. Claim has …
293
Payment made to employer
294
Payment made to attorney
295
Pharmacy Direct/Indirect Remuneration

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