Claim Paid at Maximum Allowed Amount

CARC/RARC Description
  • CO-45
  • PR-45
Charge exceeds fee schedule/maximum allowable or contracted/legislated fee arrangement

 

Common Reasons for Message

Note: This is NOT a denial but a pay message.

  • Item or service paid Medicare allowed amount
  • Item or service paid to patient's deductible and/or coinsurance
  • Item or services paid with partial units

Next Step

 

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