CARC 227: Information requested from the patient was not provided or was insufficient/incomplete
Your insurer asked you (not the provider) for information and didn't receive a complete response in time.
What this means for your claim
Insurers sometimes send the patient a questionnaire — for example, asking about other insurance coverage, accident details, or student status for a dependent. If you didn't respond or the response was incomplete, the claim is held or denied.
What to do next
- 1
Check your mail and member portal for any letters or forms the insurer sent requesting information.
- 2
Complete and return the requested information promptly, keeping a copy and proof of submission.
- 3
Once you respond, ask the insurer to reprocess the claim and confirm the timeline for the new decision.
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