CARC 270: Claim received by the medical plan, but benefits not available under this plan. Submit these services to the patient's dental plan for further consideration.
Claim received by the medical plan, but benefits not available under this plan. Submit these services to the patient's dental plan for further consideration.
CARC 270 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 270 means
The official X12 description is: “Claim received by the medical plan, but benefits not available under this plan. Submit these services to the patient's dental plan for further consideration.”
In plain language: Claim received by the medical plan, but benefits not available under this plan. Submit these services to the patient's dental plan for further consideration.
What to do next 270
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 270 group codes explained
On the 835 ERA, CARC 270 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 270 mean?
Claim received by the medical plan, but benefits not available under this plan. Submit these services to the patient's dental plan for further consideration. In plain language: Claim received by the medical plan, but benefits not available under this plan. Submit these services to the patient's dental plan for further consideration.
Is CARC 270 appealable?
Yes — CARC 270 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 270 appear under?
CARC 270 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 270 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 270 denial
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