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Denial Code P31

CARC P31: Payment denied for exacerbation when treatment exceeds time allowed. To be used for Property and Casualty only

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

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…
P32
Payment adjusted due to Apportionment

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