CARC 44
Prompt-pay discount
Not a denial. A reduction applied under a prompt-payment arrangement.
Why you actually get this
- A contractual prompt-pay term is being applied.
- A term agreed at contracting that nobody at the practice tracks against remittances.
How to check whether it’s correct
- 01Confirm a prompt-pay discount exists in your contract with this payer.
- 02Verify the percentage matches the agreed term.
Rarely worth appealing
Appeal only where no such term exists in your contract, or the rate applied is wrong.
Often arrives with
Seeing a lot of these?
A single denial is a claim to work. A pattern of the same denial is a process to fix, and the two need completely different responses. A free panel reads ninety days of your claims data and shows which codes actually recur for you.
Claim Adjustment Reason Codes are maintained by X12 as External Code List 139. The official description of this code is theirs and is not reproduced here. Check the authoritative list for current wording and status.