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Denial Code B15

CARC B15: This service/procedure requires that a qualifying service/procedure be received and covered. The qualifying other service/procedure has not been received/adjudicated

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

B12
Services not documented in patient's medical records
B13
Previously paid. Payment for this claim/service may have been provided in a previous payme…
B14
Only one visit or consultation per physician per day is covered
B16
'New Patient' qualifications were not met
B20
Procedure/service was partially or fully furnished by another provider
B22
This payment is adjusted based on the diagnosis

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