CARC 150: Payer deems the information submitted does not support this level of service
Your insurer decided the documentation doesn't justify the complexity (and cost) of the service that was billed — often called 'downcoding.'
What this means for your claim
Evaluation and management visits are billed at levels (for example, a level 4 vs. level 3 office visit). If the insurer believes the records don't support the higher level, they reduce payment to a lower level. This affects how much of the bill is your responsibility.
What to do next
- 1
Request an itemized bill and ask your provider which service level was billed and which the insurer paid.
- 2
Ask your provider to submit the visit documentation supporting the level billed and to appeal the downcoding if warranted.
- 3
Verify that your patient responsibility was recalculated against the correct allowed amount after any adjustment.
Have more codes on your EOB?
Upload your full Explanation of Benefits and our analyzer will identify every adjustment code, explain each one in plain English, and flag anything worth disputing.
Analyze My EOB Free →