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Denial Code 305

CARC 305: Claim received by the medical plan, but benefits not available under this plan. Claim has been forwarded to the patient's hearing 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

302
preauth/notification time limit has expired
303
Prior payer's patient responsibility not covered for Qualified Medicare and Medicaid Benef…
304
Claim received by the medical plan, but benefits not available under this plan. Submit the…
306
Type of bill is inconsistent with the patient status
307
Medicare Maximum Fair Price Standard Default Refund Amount Adjustment. Remark code require…
308
Payment is adjusted due to contracted funding agreement between the payer and provider

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