Original payment decision is being maintained. Upon review, it was determined that this claim was processed properly.
Group code
CO
Category
Other Adjustments
Risk level
High
Appealable
Yes
See the full resolution workflow for CARC 193
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.
Open in EDI Lab