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Denial Code P3

CARC P3: Workers' Compensation case settled. Patient is responsible for amount of this claim/service through WC 'Medicare set aside arrangement' or other agreement. To be used for Workers'…

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

B23
Procedure billed is not authorized per your Clinical Laboratory Improvement Amendment prof…
P1
State-mandated Requirement for Property and Casualty, see Claim Payment Remarks Code for s…
P2
Not a work related injury/illness and thus not the liability of the workers' compensation …
P4
Workers' Compensation claim adjudicated as non-compensable. This Payer not liable for clai…
P5
Based on payer reasonable and customary fees. No maximum allowable defined by legislated f…
P6
Based on entitlement to benefits

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