CARCContractual Obligation
CARC 226: Information requested from the Billing/Rendering Provider was not provided or not provided timely or was insufficient/incomplete
The insurer asked the provider for more information but didn't get it in time.
What this means for your claim
During claim review, insurers may request medical records or additional documentation from the provider. If the provider doesn't respond within the deadline, the claim is denied.
What to do next
- 1
Ask your provider's billing department whether they received a request for records and whether it was submitted.
- 2
If the deadline was missed due to an administrative error, ask the provider to appeal with the records and an explanation.
- 3
You may also submit the records yourself with a written appeal if you have access to them.
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