Cost outlier - Adjustment to compensate for additional costs.
Group code
CO, PI or PR
Category
Contractual Adjustment
Risk level
Medium
Appealable
Rarely
See the full resolution workflow for CARC 70
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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