CARC Code
P26
Voluntary Provider Network Adjustment
The payment was adjusted because you are part of a Voluntary Provider Network (VPN) under a property and casualty insurance policy. The specific contract terms of your VPN agreement determined the payment amount.
contractualHow 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-P26 — 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 P26 by specialty.
No payer-specific notes available for this code yet.
Appeal Letter Template
Generic appeal template for CARC P26 denials.
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