CARC 157: Service/procedure was provided as a result of an act of war.
Service/procedure was provided as a result of an act of war.
CARC 157 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 157 means
The official X12 description is: “Service/procedure was provided as a result of an act of war.”
In plain language: Service/procedure was provided as a result of an act of war.
What to do next 157
Appeal with documentation specific to this code. The provider's billing office can help clarify what the carrier wants.
DenialHelp drafts the appeal letter for you in about five minutes. We cite the federal appeal-rights regulation that applies to your plan type (ACA §2719, ERISA §503, NSA §2799A, 42 CFR 422 Subpart M, or 42 CFR 438 Subpart F), the insurer's own coverage policy, and the relevant clinical guideline.
CARC 157 group codes explained
On the 835 ERA, CARC 157 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 157 mean?
Service/procedure was provided as a result of an act of war. In plain language: Service/procedure was provided as a result of an act of war.
Is CARC 157 appealable?
Yes — CARC 157 is one of the codes that commonly supports an appeal. Appeal with documentation specific to this code. The provider's billing office can help clarify what the carrier wants.
Which group code does CARC 157 appear under?
CARC 157 most often appears under: CO (Contractual Obligation) — Contractual write-off. The provider agreed to the rate. Patient does NOT owe this amount.
How do I appeal a CARC 157 denial?
Appeal with documentation specific to this code. The provider's billing office can help clarify what the carrier wants.
Related resources
Sources
Appeal a CARC 157 denial
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