This CARC code is received when a claim is submitted and the procedure code(s) are billed with the wrong modifier(s), or the required modifier(s) are missing.
Learn how to avoid rejects of crossover claims by ensuring the addresses you have on file with Medicare and Medicaid match and are in the appropriate format.
First Coast has noticed an increase in errors on the CMS-1500 (02/12) claim form. This article addresses important instructions regarding completion of the paper claim form.