CARC Code

163

๐ŸŸก Soft Denial

Attachment/other documentation referenced on the claim was not received.

82%

Recovery Rate

7-14 days

Avg. Resolution

Medium

Difficulty

Common

Frequency

Recommended Action

Resubmit claim with all required attachments and documentation

Step-by-Step Resolution

  1. 1

    Review the RARC code to identify the specific document(s) required

  2. 2

    Gather the required documentation from the provider or medical records department

  3. 3

    Submit the documentation through the payer's electronic attachment portal or fax

  4. 4

    Resubmit the claim with the attachment reference number if required

  5. 5

    Confirm receipt and track to adjudication

Common Remark Codes (RARC)

These RARC codes often appear alongside CARC 163 on remittance advice.

RARC N433ยทMissing/incomplete/invalid x-ray or other image

โ†’ Submit required imaging with resubmission

Payer-Specific Notes

How major payers handle CARC 163 in practice.

Aetna Dental

Contact Aetna provider services for clarification on this code.

Common 835 Combinations

CARC 163 most often appears with these Group Code + RARC combinations on 835 remittances.

Look up any combination โ†’

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