Health insurance denial & claim adjustment codes
The plan is refusing to pay for harm it considers preventable. You generally cannot be billed for these.
This is explicitly not billable to you in most circumstances. If you have received a bill, that is the finding worth pursuing.
Check if this denial is worth appealing
Check if this denial is worth appealing → Free. No account, no card.This page explains what a code means. It is information, not advice — it does not tell you whether your specific claim should have been paid, and it is not legal, medical, or insurance advice. Your plan documents and your denial notice govern your situation.