What does denial code B7 mean?

Q: What does denial code B7 mean?

CARC B7: This provider was not certified/eligible to be paid for this procedure/service on this date of service

Denial Code B7

CARC B7: This provider was not certified/eligible to be paid for this procedure/service on this date of service

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

Ungroupable DRG

Non-covered visits

Late filing penalty

Alternative services were available, and should have been utilized

Patient is enrolled in a Hospice

B10

Allowed amount has been reduced because a component of the basic procedure/test was paid. …

← Back to the full denial codes lookup · POS codes · glossary