CARC 151: Payment adjusted because the payer deems the information submitted does not support this many/frequency of services
Your insurer says the number or frequency of services billed doesn't seem clinically reasonable based on the information submitted.
What this means for your claim
Frequency edits flag when a service appears too often in too short a time (e.g., multiple office visits in one day, or too many lab tests). This can be a legitimate clinical pattern that just needs documentation.
What to do next
- 1
Ask your provider to submit medical notes that document the clinical need for the frequency of services.
- 2
File an appeal with the supporting records if the services were genuinely necessary.
- 3
If any services were billed in error, ask the provider to submit a corrected claim removing the duplicate.
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