Denial code

CARC 22 denial code: meaning & whether to appeal

CARC 22: the exact X12 wording, how it is classified, and whether it is worth appealing.

Appealant EditorialX12 verified3 min read

What CARC 22 means

This care may be covered by another payer per coordination of benefits.

Verbatim description from the official X12 Claim Adjustment Reason Codes list.

Classification

Denial class: coordination of benefits

Appealability verdict

Appealable — coordination of benefits

What to know

Usually resolved by establishing the correct order of benefits — the other carrier's explanation of benefits and current coverage records are the key documents.

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