Penalty or Interest Payment by Payer (Only used for plan to plan encounter reporting within the 837)
Group code
CO, PI or PR
Category
Other Adjustments
Risk level
Low
Appealable
No
See the full resolution workflow for CARC 225
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.
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