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Denial Code 96

CARC 96: Non-covered charge(s). 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

91
Dispensing fee adjustment
94
Processed in Excess of charges
95
Plan procedures not followed
97
The benefit for this service is included in the payment/allowance for another service/proc…
100
Payment made to patient/insured
101
Predetermination: anticipated payment upon completion of services or claim adjudication

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