CARC202ReferenceCurrentVerified Aug 15, 2026CARC 202
AR Guide Workflow
Non-Covered Services
The service is not covered under the patient's benefit plan — an exclusion, a coverage limit, or a service the plan simply does not include.
AR Guide explanation
What it means
The plan classifies the billed item or service as personal comfort or convenience rather than medically necessary care, so it is excluded from coverage.
AR Guide knowledge
Common denial category
Non-Covered Services — The service is not covered under the patient's benefit plan — an exclusion, a coverage limit, or a service the plan simply does not include.
AR Guide knowledge
Common causes
- Service classified as personal comfort/convenience by the plan
- Service not medically necessary
AR Guide knowledge
What AR should verify
- Review the plan's definition of covered services
- Confirm how the plan classified the billed item
AR Guide knowledge
Recommended action
- Bill the patient per plan rules
- Appeal only if the service is medically necessary and misclassified
About this guidance: Note
AR Guide knowledge is general reference content written by our team — it is not payer-specific policy and never replaces the payer’s documentation or your contract. Always confirm specifics with the payer.