Denial Code 94 (CO-94, PR-94) — Meaning & What to Do
Claim Adjustment Reason Code (CARC)
What denial code 94 means: Payment made was more than the charge, creating a credit.
What to do about denial code 94: You may be owed a refund — ask the provider about the credit balance.
CO-94 vs PR-94 vs OA-94: what the prefix means
| Code on your EOB | What the prefix means | Who typically pays |
|---|---|---|
| CO-94 | Contractual obligation — the provider writes the amount off | Usually not the patient |
| PR-94 | Patient responsibility | The patient |
| OA-94 | Other adjustment | Often another payer or plan |
The prefix tells you who is expected to absorb the amount; the number (94) tells you why.
Related codes
CARC 77This is a covered service, but the charge is the patient's responsibility.
CARC 95The provider billed in a way that doesn't follow the plan's rules.
CARC 76Payment was already made for this service under another claim.
CARC 100Payment was made to the patient or another party, not the provider.
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 94
What does denial code 94 mean on my EOB?
Payment made was more than the charge, creating a credit.
What should I do about denial code 94?
You may be owed a refund — ask the provider about the credit balance.
Found this code on your bill or EOB?
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