CARC Code

P18

🟡 Soft Denial

Comparable Service Allowed - P&C Only

The procedure you billed is not in the workers' compensation or auto insurance fee schedule, so the payer paid for a similar procedure that is listed instead. This code only applies to property and casualty insurance claims.

contractual
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-P18 — 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 P18 by specialty.

No payer-specific notes available for this code yet.

Appeal Letter Template

Generic appeal template for CARC P18 denials.

Generate a personalized appeal letter →

Need to resolve this denial?

Get a step-by-step resolution plan with payer-specific guidance and appeal letter generation.

Resolve this denial →
Was this helpful?