HomeKnowledgeGlossaryCommunitySign in

Denial Code P28

CARC P28: Payment adjusted 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

P25
Payment adjusted based on Medical Provider Network
P26
Payment adjusted based on Voluntary Provider network
P27
Payment denied based on the Liability Coverage Benefits jurisdictional regulations and/or …
P29
Liability Benefits jurisdictional fee schedule adjustment
P30
Payment denied for exacerbation when supporting documentation was not complete. To be used…
P31
Payment denied for exacerbation when treatment exceeds time allowed. To be used for Proper…

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