Services denied at the time authorization/pre-certification was requested.
Group code
CO, PI or PR
Category
Prior Authorization
Risk level
Critical
Appealable
Rarely
See the full resolution workflow for CARC 39
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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