CARCContractual Obligation
CARC 31: Patient cannot be identified as our insured
The insurer can't match the patient to an active member record.
What this means for your claim
A name mismatch, wrong ID number, wrong date of birth, or administrative error prevented the insurer from verifying your eligibility.
What to do next
- 1
Ask your provider to confirm the member ID, date of birth, and name spelling on the claim.
- 2
Contact member services to verify your record is active and all personal information is correct.
- 3
Request the claim be resubmitted after the member record is corrected.
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