CARC 22: This care may be covered by another payer per coordination of benefits
Your insurer thinks another insurance plan — like a spouse's plan — should pay first.
What this means for your claim
When you're covered by more than one health plan, coordination of benefits (COB) rules determine which plan pays first (primary) and which pays second (secondary). If this information wasn't submitted correctly, processing is delayed.
What to do next
- 1
Confirm which plan is primary and which is secondary with both insurers.
- 2
Ask your provider to resubmit the claim with the correct COB information, including the other payer's EOB.
- 3
If only one plan covers you, notify your insurer in writing that no other coverage exists.
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