CARCNon-Covered
CARC 100: Payment made to patient/insured/responsible party
The insurance payment was sent directly to you instead of to the provider.
What this means for your claim
When a provider doesn't have an assignment of benefits agreement with your insurer, payment can go directly to the patient. You're then responsible for paying the provider.
What to do next
- 1
Check if you received a check from your insurer and forward it to the provider.
- 2
Inform the provider so they don't send the account to collections while waiting for payment.
- 3
For future services, provide the provider's current billing address to the insurer to enable direct payment.
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