Denial Decoded
How to read a denial letter and an EOB the way a biller reads it: what was denied, by whom, under which rule, and what that leaves you owing.
- Denial Decoded Group Codes PR or CO: Which One You Can Be Billed For The group code PR or CO in front of a dollar amount on your EOB decides whether that money is your bill or the provider's write-off. Here is how to read it.
- Denial Decoded Not Medically Necessary Denial: Finding the Criteria Your denial cited a policy number and did not enclose the document. Where that file lives, the rule that compels a copy, and how to read it against the record.
- Denial Decoded CARC and RARC Codes: What They Mean on Your EOB Your EOB says PR-96 and N130 and not much else. Which list each code comes from, what it can and cannot prove about your bill, and how to look it up.
- Denial Decoded Health Insurance Denial Letter: How to Read It The denial code, the plan provision it cites, and the date your appeal clock actually starts all sit in the back half of the letter, in the small type.