Billing — Rejections

Rejection triage by CARC/RARC codes and denial reason (flow Step 5). Resolve and resubmit are money-actions.


d115a6ea-3da1-4966-b487-96d61c0110a5	Community Health Choice	denied	CARC CO-31 · RARC N30	Invalid Insurance Data	Billing — verify vs source CARC 31	97153, 97153, 97153
d27f294a-4617-4177-bc34-65256f6efc22	BCBS TX MCO	denied	CARC CO-29	Timely Filing	AR — appeal CARC 29	97153, 97155
d699cc62-9d94-4f6a-b7ce-14ab2fdc09a4	Superior Health Plan-TX	denied	CARC CO-208, CO-198 · RARC N255, N54	Authorization Required	Auth team CARC 198	97156
d8f402a9-f5f7-4fe0-820d-8c5f36f4c679	BCBS MCO-IL	denied	CARC CO-299, CO-185	Credentialing	—	97153
d91744ee-b116-4ceb-8835-6eccba0848de	BCBS-IL	denied	CARC CO-197	Authorization Required	Auth team CARC 197	97155
e3318fc6-ff23-448e-be1d-e77ddd18d30d	Medicaid-GA	denied	CARC CO-45, PI-252, OA-18 · RARC M127, N702	Info Requested from Provider	Billing — combine units CARC 18	97153
e598653c-5840-4e86-98cb-4f65ba1cddb5	BCBS OF TX	denied	CARC CO-45	—	—	97153, 97153
e631b6b1-6549-4278-ac37-9f47f9363fb9	Health Plan of San Mateo	denied	CARC OA-29, CO-45	Timely Filing	AR — appeal CARC 29	97153, 97153
e91e45ff-8327-4247-9caf-9fe409bf3a4f	Amerigroup-TX	denied	CARC CO-197	Authorization Required	Auth team CARC 197	97151
ebcd2672-de97-4e7b-a2c9-1886eab2d79b	Medicaid-TX	denied	CARC CO-29	Timely Filing	AR — appeal CARC 29	97151
ed79f4b9-584f-4e78-9b4d-6e1fbbc61210	Texas Children's Health Plan MCO-TX	denied	CARC OA-29	Timely Filing	AR — appeal CARC 29	97155, 97156
ede8e85d-aa8f-4ab7-908f-eeb8bfde7928	Florida Blue	denied	CARC PR-1, CO-242, CO-45, CO-16 · RARC M115, N381, MA112	Invalid Provider Information	Credentialing team CARC 242	97155
ee11a73b-6204-4b3f-a86f-f296ba224ef3	BCBS MCO-IL	denied	CARC CO-185	Credentialing	—	97155
ee838c6a-c1d3-4fbf-afbf-164f6040ed08	Amerigroup-TX	denied	CARC CO-45, CO-198 · RARC N381, N362	Authorization Required	Auth team CARC 198	97153, 97153, 97153
eed3f02c-1588-49b4-b279-68a19d82c7ff	Cigna-TX	denied	CARC PR-3, OA-23, CO-29, CO-45	UNKNOWN; Timely Filing	Payment Posting CARC 23	97156, 97155
efb6be3e-343b-49f3-af2d-5686cdb89d60	BCBS MCO-IL	denied	CARC CO-185	Credentialing	—	97155
f05af31f-72ca-43d2-951f-e40b27c310a9	UHC Community Plan	denied	CARC CO-251, CO-163, CO-29, CO-45, PI-29 · RARC M127	Timely Filing	AR — appeal CARC 29	97153, 97153, 97153
f0f8cde8-89ca-45ff-8b14-f60fd22a99ce	Tricare East - FL	denied	CARC OA-96, CO-16 · RARC N443	Non-Covered Benefit	VOB team CARC 96	97151
f12f2ef1-a602-49e5-8262-1619ede8090c	BCBS OF TX	denied	CARC CO-45 · RARC M115, N519	No Effective Contract	—	97151, 97151, 97151
f20579e4-3cae-4036-82b7-98ca2658844d	Cigna-TX	denied	CARC PR-2, OA-23, CO-29, CO-45	UNKNOWN; Timely Filing	Payment Posting CARC 23	97153, 97153
f2f85a2e-a32c-4955-afaf-b363d3d83636	BCBS-IL	denied	CARC CO-197	Authorization Required	Auth team CARC 197	97153
f3e421c2-a57f-4875-9cb3-77ebc948fcc5	BCBS TX MCO	denied	CARC CO-131, OA-18 · RARC N381	Unknown; Duplicate Claim	Billing — combine units CARC 18	97153, 97153
f4271e18-1af6-4537-b9fa-a8e9da3c262f	BCBS TX MCO	denied	CARC CO-131 · RARC N381	Unknown	—	97155
f4cd651b-9d86-450e-9b46-3aa26cb469d1	BCBS MCO-IL	denied	CARC CO-299, CO-185	Credentialing	—	97153, 97153, 97153
f749ef70-573a-41fc-b5a7-1ac80f1dc019	Amerigroup-TX	denied	CARC CO-197	Authorization Required	Auth team CARC 197	97153

0 of 32 row(s) selected.