CARC Code
133
The disposition of this service line is pending further review.
82%
Recovery Rate
7-14 days
Avg. Resolution
Medium
Difficulty
Rare
Frequency
Recommended Action
Submit the related claim disposition (CRF or UB-04) with this claim
Step-by-Step Resolution
- 1
Pull the original claim and review the denial reason and any RARC codes
- 2
Research the payer's policy for CARC 133 to understand the basis for denial
- 3
Gather supporting documentation addressing the denial reason
- 4
Submit a formal appeal with the documentation within the plan's appeal window
- 5
Follow up on the appeal within 30 days and document all communication
Payer-Specific Notes
How major payers handle CARC 133 in practice.
Aetna Dental
Contact Aetna provider services for clarification on this code.
Common 835 Combinations
CARC 133 most often appears with these Group Code + RARC combinations on 835 remittances.
Appeal Letter Template
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