CARC 137: Regulatory surcharges, assessments, allowances, or health-related taxes.
Regulatory surcharges, assessments, allowances, or health-related taxes.
CARC 137 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 137 means
The official X12 description is: “Regulatory surcharges, assessments, allowances, or health-related taxes.”
In plain language: Regulatory surcharges, assessments, allowances, or health-related taxes.
What to do next 137
Verify the EOB details. If you believe the code is misapplied, contact the carrier's member services or your provider's billing office.
CARC 137 group codes explained
On the 835 ERA, CARC 137 appears alongside a group code that signals who is financially responsible for the adjustment. OA (Other Adjustment) — Informational or coordination-related adjustment. Usually means another payer is involved or there's a non-claim-related accounting entry.
Frequently asked questions
What does CARC 137 mean?
Regulatory surcharges, assessments, allowances, or health-related taxes. In plain language: Regulatory surcharges, assessments, allowances, or health-related taxes.
Is CARC 137 appealable?
CARC 137 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 137 appear under?
CARC 137 most often appears under: OA (Other Adjustment) — Informational or coordination-related adjustment. Usually means another payer is involved or there's a non-claim-related accounting entry.
What should I do if I see CARC 137 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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