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

  • 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

 

Last Updated Tue, 20 Oct 2020 14:52:14 +0000