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Denial Code 295

CARC 295: Pharmacy Direct/Indirect Remuneration

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

292
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
296
preauth/notification number may be valid but does not apply to the provider
297
Claim received by the medical plan, but benefits not available under this plan. Submit the…
298
Claim received by the medical plan, but benefits not available under this plan. Claim has …

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