CARCP24ReferenceCurrentVerified Aug 15, 2026

CARC P24

No specific AR Guide workflow has been assigned yet

We haven’t written AR Guide guidance for CARC P24 yet. The reference description in the sidebar is complete and sourced from ASC X12. Search the denial guides for the workflow you need.

Reference

Reference details

Code: P24
X12 status: Active
Effective: Nov 1, 2017
Last modified: —

Reference

Reference description

Payment adjusted based on Preferred Provider Organization (PPO). Usage: If adjustment is at the Claim Level, the payer must send and the provider should refer to the 835 Class of Contract Code Identification Segment (Loop 2100 Other Claim Related Information REF). If adjustment is at the Line Level, the payer must send and the provider should refer to the 835 Healthcare Policy Identification Segment (loop 2110 Service Payment information REF) if the regulations apply. To be used for Property and Casualty only. Use only with Group Code CO.

External reference text from ASC X12. AR Guide does not alter official descriptions.

Source & review

Data quality

Source: ASC X12 Claim Adjustment Reason Codes
Verify: Open source page ↗
Last checked: Aug 15, 2026
Status: Verified

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