How do I resolve a CO-P20 denial?

undefined See full resolution steps at tryarceum.com.

Can I appeal a CO-P20 denial?

Yes. Most CO-P20 denials can be appealed within 60-180 days depending on payer. This is appealable if documentation supports that the service should be covered under the jurisdiction's outpatient facility fee schedule or if the billing was appropriate but incorrectly denied. Use our free tool to generate an appeal letter.

CARC Code

P20

🟡 Soft Denial

Not Covered Under Outpatient Fee Schedule

This service is not covered under the outpatient facility fee schedule that applies in this jurisdiction. This code is used exclusively for property and casualty insurance claims, not standard health insurance.

contractual

Resolution: 0%Medium difficulty7-14 days avg

How to resolve this denial

Which payer denied this claim?

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-P20 — stats, related codes, appeal template

Recovery Rate

7-14 days

Avg. Resolution

Medium

Difficulty

Rare

Frequency

Payer-Specific Notes

How major payers handle CARC P20 by specialty.

No payer-specific notes available for this code yet.

Appeal Letter Template

Generic appeal template for CARC P20 denials.

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