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Denial Code 307

CARC 307: Medicare Maximum Fair Price Standard Default Refund Amount Adjustment. Remark code required

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

304
Claim received by the medical plan, but benefits not available under this plan. Submit the…
305
Claim received by the medical plan, but benefits not available under this plan. Claim has …
306
Type of bill is inconsistent with the patient status
308
Payment is adjusted due to contracted funding agreement between the payer and provider
A0
Patient refund amount
A1
Claim/Service denied. Remark code required

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