CARC 115: Procedure postponed, canceled, or delayed.
Procedure postponed, canceled, or delayed.
CARC 115 is the code your insurance company used to explain why your claim was reduced, denied, or paid less than expected. It appears on your Explanation of Benefits (EOB) — the statement your plan sends after a claim is processed. Here's what it means for you and what you can do about it.
What CARC 115 means
The official X12 description is: “Procedure postponed, canceled, or delayed.”
In plain language: Procedure postponed, canceled, or delayed.
What to do next 115
Verify the EOB details. If you believe the code is misapplied, contact the carrier's member services or your provider's billing office.
CARC 115 group codes explained
On the 835 ERA, CARC 115 appears alongside a group code that signals who is financially responsible for the adjustment. CO (Contractual Obligation) — Contractual write-off. The provider agreed to the rate. Patient does NOT owe this amount.
Frequently asked questions
What does CARC 115 mean?
Procedure postponed, canceled, or delayed. In plain language: Procedure postponed, canceled, or delayed.
Is CARC 115 appealable?
CARC 115 is usually not appealable on its own — it's typically a contractual, informational, or routine adjustment. Verify the EOB details. If you believe the code is misapplied, contact the carrier's member services or your provider's billing office.
Which group code does CARC 115 appear under?
CARC 115 most often appears under: CO (Contractual Obligation) — Contractual write-off. The provider agreed to the rate. Patient does NOT owe this amount.
What should I do if I see CARC 115 on the 835?
Verify the EOB details. If you believe the code is misapplied, contact the carrier's member services or your provider's billing office.
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