DenialCodePro
139N/A - Should not be used. If MCEs submit an encounter with this CARC, it will be rejectedGeneral Adjustment

Code 139

Problem Description

Contracted funding agreement - Subscriber is employed by the provider of services. Use only with Group Code CO.

Actionable Fix — Solution Steps

Verify claim details and patient demographics. Submit a corrected claim or appeal with necessary supporting medical documentation.

Related Codes in General Adjustment

1

Deductible Amount

2

Coinsurance Amount

3

Co-payment Amount

6

The procedure/revenue code is inconsistent with the patient's age. Usage: Refer to the 835 Healthcare Policy Identification Segment (loop 2110 Service Payment Information REF), if present.

This directory provides reference information only and does not constitute official legal, medical, or financial billing advice. Always consult the payer's official remittance advice and current coding guidelines.

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