Fee/Service not payable per patient Care Coordination arrangement.
Group code
CO, PI or PR
Category
Plan Provision
Risk level
Medium
Appealable
Rarely
See the full resolution workflow for CARC 274
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