These services were submitted after this payers responsibility for processing claims under this plan ended.
Group code
CO, PI or PR
Category
Coordination of Benefits
Risk level
High
Appealable
No
See the full resolution workflow for CARC 166
Members of the EDI-Code Intelligence Lab get the step-by-step rework path, appeal language, root-cause drivers, and prevention checklist for every CARC and RARC pairing, plus payer-specific requirements.
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