Denial Code 225 (CO-225, PR-225) — Meaning & What to Do
Claim Adjustment Reason Code (CARC)
What denial code 225 means: A penalty was applied for not using electronic funds transfer.
What to do about denial code 225: A provider-plan matter, not your responsibility.
CO-225 vs PR-225 vs OA-225: what the prefix means
| Code on your EOB | What the prefix means | Who typically pays |
|---|---|---|
| CO-225 | Contractual obligation — the provider writes the amount off | Usually not the patient |
| PR-225 | Patient responsibility | The patient |
| OA-225 | Other adjustment | Often another payer or plan |
The prefix tells you who is expected to absorb the amount; the number (225) tells you why.
Related codes
CARC 223A mandated federal/state adjustment was applied.
CARC 226The information requested from the provider wasn't received or was incomplete.
CARC 222This exceeds the contracted maximum number of hours/days/units.
CARC 227Information requested from the patient wasn't received.
Keep reviewing your bill
- Medical Bill vs EOB: What Is the Difference?
- How to Dispute a Medical Bill — Find Billing Errors Before You Pay
Frequently asked questions about Denial code 225
What does denial code 225 mean on my EOB?
A penalty was applied for not using electronic funds transfer.
What should I do about denial code 225?
A provider-plan matter, not your responsibility.
Found this code on your bill or EOB?
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