CARC B7: This provider was not certified/eligible to be paid for this procedure/service on this date of service
The provider who performed this service wasn't credentialed or eligible to bill for it on the date of your visit.
What this means for your claim
Provider credentialing can lapse or take time to be processed. If a provider's participation wasn't active on your service date, claims may be denied.
What to do next
- 1
Ask the provider to verify their credentialing status with your insurer as of your service date.
- 2
If credentialing was pending (e.g., a new provider joining a practice), ask both the insurer and provider to retroactively resolve the gap.
- 3
If the provider was credentialed but the claim shows otherwise, ask for a review of the enrollment records.
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