CARC 268: The Claim spans two calendar years. Please resubmit one claim per calendar year.
The Claim spans two calendar years. Please resubmit one claim per calendar year.
CARC 268 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 268 means
The official X12 description is: “The Claim spans two calendar years. Please resubmit one claim per calendar year.”
In plain language: The Claim spans two calendar years. Please resubmit one claim per calendar year.
What to do next 268
Verify the EOB details. If you believe the code is misapplied, contact the carrier's member services or your provider's billing office.
CARC 268 group codes explained
On the 835 ERA, CARC 268 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 268 mean?
The Claim spans two calendar years. Please resubmit one claim per calendar year. In plain language: The Claim spans two calendar years. Please resubmit one claim per calendar year.
Is CARC 268 appealable?
CARC 268 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 268 appear under?
CARC 268 most often appears under: CO (Contractual Obligation) — Contractual write-off. The provider agreed to the rate. Patient does NOT owe this amount.
What should I do if I see CARC 268 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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