CARC 246: This non-payable code is for required reporting only.
This non-payable code is for required reporting only.
CARC 246 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 246 means
The official X12 description is: “This non-payable code is for required reporting only.”
In plain language: This non-payable code is for required reporting only.
What to do next 246
Verify the EOB details. If you believe the code is misapplied, contact the carrier's member services or your provider's billing office.
CARC 246 group codes explained
On the 835 ERA, CARC 246 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 246 mean?
This non-payable code is for required reporting only. In plain language: This non-payable code is for required reporting only.
Is CARC 246 appealable?
CARC 246 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 246 appear under?
CARC 246 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 246 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