CARC Code

P21

🟡 Soft Denial

Auto Insurance MPC/PIP Denial

The claim was denied because it does not meet the requirements under Medical Payments Coverage or Personal Injury Protection benefits rules for auto insurance. This code is only used for property and casualty auto 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-P21 — 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 P21 by specialty.

No payer-specific notes available for this code yet.

Appeal Letter Template

Generic appeal template for CARC P21 denials.

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