CARC Code

P17

🟡 Soft Denial

Referral Not Authorized by Attending Physician

The claim was denied because the attending physician did not authorize the referral as required by property and casualty insurance regulations. This code applies exclusively to property and casualty insurance claims, not standard health insurance.

authorization
Resolution: 0%Medium difficulty7-14 days avg

How to resolve this denial

✓ Pre-action checklist — verify before contacting the payer
  1. Review the full remittance advice (ERA/EOB) for additional RARC codes that explain the denial.

  2. Verify the claim was submitted with correct patient eligibility and benefit information.

  3. Check if this denial applies to a specific line item or the entire claim.

More about CO-P17 — 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 P17 by specialty.

No payer-specific notes available for this code yet.

Appeal Letter Template

Generic appeal template for CARC P17 denials.

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