All denial codes Back to library
CARC Code Reference

CARC 106: Patient payment option/election not in effect.

Patient payment option/election not in effect.

Group code PR
Category Patient Responsibility
Risk level Low
Appealable No

See the full resolution workflow for CARC 106

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 requirements.

Open in EDI Lab