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Denials

Denial codes, appeal strategy, payer-specific denial patterns and medical necessity.
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Denial Decoder — Aug 23

CARC 16 with MA130 is a returned claim, not a denial — and it carries no appeal rights

A working reference to the CARC and RARC combinations that actually land on behavioral health remittances: what each code says, why it fires in a BH context, and whether the answer is resubmit, correct, or appeal.