CARC 227: Information requested from the patient/insured/responsible party was not provided or was insufficient/incomplete.
Information requested from the patient/insured/responsible party was not provided or was insufficient/incomplete.
CARC 227 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 227 means
The official X12 description is: “Information requested from the patient/insured/responsible party was not provided or was insufficient/incomplete.”
In plain language: Information requested from the patient/insured/responsible party was not provided or was insufficient/incomplete.
What to do next 227
Appeal with documentation specific to this code. The provider's billing office can help clarify what the carrier wants.
DenialHelp helps organize a source-linked draft from the denial notice and confirmed case facts. The patient and treating clinician must verify the governing review rule, current payer policy, clinical sources, attachments, destination, and deadline.
CARC 227 group codes explained
On the 835 ERA, CARC 227 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 227 mean?
Information requested from the patient/insured/responsible party was not provided or was insufficient/incomplete. In plain language: Information requested from the patient/insured/responsible party was not provided or was insufficient/incomplete.
Is CARC 227 appealable?
Yes — CARC 227 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 227 appear under?
CARC 227 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 227 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 227 denial
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