Predetermination: anticipated payment upon completion of services or claim adjudication.
Group code
CO, PI or PR
Category
Other Adjustments
Risk level
Low
Appealable
Rarely
See the full resolution workflow for CARC 101
Members of the EDI-Code Intelligence Lab get the step-by-step rework path, appeal language, root-cause drivers, and prevention checklist for every CARC and RARC pairing, plus payer-specific quirks.
Open in EDI Lab