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Denial Code P27

CARC P27: Payment denied based on the Liability Coverage Benefits jurisdictional regulations and/or payment policies

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

P24
Payment adjusted based on Preferred Provider Organization
P25
Payment adjusted based on Medical Provider Network
P26
Payment adjusted based on Voluntary Provider network
P28
Payment adjusted based on the Liability Coverage Benefits jurisdictional regulations and/o…
P29
Liability Benefits jurisdictional fee schedule adjustment
P30
Payment denied for exacerbation when supporting documentation was not complete. To be used…

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