CARC 241: Low Income Subsidy (LIS) Co-payment Amount.
Low Income Subsidy (LIS) Co-payment Amount.
CARC 241 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 241 means
The official X12 description is: “Low Income Subsidy (LIS) Co-payment Amount.”
In plain language: Low Income Subsidy (LIS) Co-payment Amount.
What to do next 241
Verify the EOB details. If you believe the code is misapplied, contact the carrier's member services or your provider's billing office.
CARC 241 group codes explained
On the 835 ERA, CARC 241 appears alongside a group code that signals who is financially responsible for the adjustment. PR (Patient Responsibility) — Patient owes this amount. Deductibles, coinsurance, copays, and excluded benefits land here.
Frequently asked questions
What does CARC 241 mean?
Low Income Subsidy (LIS) Co-payment Amount. In plain language: Low Income Subsidy (LIS) Co-payment Amount.
Is CARC 241 appealable?
CARC 241 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 241 appear under?
CARC 241 most often appears under: PR (Patient Responsibility) — Patient owes this amount. Deductibles, coinsurance, copays, and excluded benefits land here.
What should I do if I see CARC 241 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.
Related resources
Sources
Contact: hello@denialhelp.com