CARC Code
P16
Provider Not Authorized for Workers' Comp
The healthcare provider is not certified or authorized to treat injured workers under Workers' Compensation rules in the state or jurisdiction where care was provided. This code is only used for Workers' Compensation claims.
authorizationHow to resolve this denial
▶✓ Pre-action checklist — verify before contacting the payer
Review the full remittance advice (ERA/EOB) for additional RARC codes that explain the denial.
Verify the claim was submitted with correct patient eligibility and benefit information.
Check if this denial applies to a specific line item or the entire claim.
▶More about CO-P16 — stats, related codes, appeal template
0%
Recovery Rate
7-14 days
Avg. Resolution
Medium
Difficulty
Rare
Frequency
Payer-Specific Notes
How major payers handle CARC P16 by specialty.
No payer-specific notes available for this code yet.
Appeal Letter Template
Generic appeal template for CARC P16 denials.
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