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Denial Code 35

CARC 35: Lifetime benefit maximum has been reached

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

32
Our records indicate the patient is not an eligible dependent
33
Insured has no dependent coverage
34
Insured has no coverage for newborns
39
Services denied at the time authorization/pre-certification was requested
40
Charges do not meet qualifications for emergent/urgent care
44
Prompt-pay discount

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