Health insurance denial codes, explained

Your health insurer prints a claim adjustment code next to every adjustment and denial on your EOB and denial letters — covering medical bills, prescriptions, medical equipment, prior authorization and Medicare. Most are never explained to you. Find your code below for what it means, what usually causes it, and what to do next.

Check my prior authorization

Free tool for these: /check-prior-auth

Check if this denial is worth appealing

Free tool for these: /check-appeal

Decode this EOB code

Free tool for these: /check-eob

Check if this is a surprise bill

Free tool for these: /check-surprise-bill

Check my prescription price

Free tool for these: /check-rx

Check which benefits I'm missing

Free tool for these: /check-benefits

These pages explain what codes mean. They are information, not advice, and do not tell you whether your specific claim should have been paid.