CARC · CO group
CO-96
Non-covered charge(s)
Contractual obligation; provider write-off unless appealed
- What it means
- The service is excluded from the patient's benefit plan.
- Likely cause
- Behavioral health carve-out to a separate plan, or a service category the plan excludes outright.
- How to fix it
- Check whether behavioral health benefits are administered by a carve-out vendor and rebill there. Otherwise bill the patient per policy.
- Revenue impact
- Recoverable when a carve-out payer exists; otherwise patient responsibility.
- non-covered
- carve-out
- benefits
Related codes
Early access
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