CARCContractual Obligation
CARC 58: Treatment was deemed by the payer to have been rendered in an inappropriate or invalid place of service
The location where this service was performed isn't appropriate for this type of care per your insurer.
What this means for your claim
Some services are only covered in certain settings. For example, a procedure your plan covers in an outpatient clinic may not be covered if performed in a physician office.
What to do next
- 1
Ask your insurer which place of service would have been covered for this service.
- 2
If the setting was appropriate clinically but not administratively aligned, ask the provider to appeal with supporting documentation.
- 3
For future services, verify the approved setting with your insurer before scheduling.
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