CARC Code
226
Information requested from the Billing/Rendering Provider was not provided or not provided timely or was insufficient/incomplete. At least one Remark Code must be provided (may be comprised of either the NCPDP Reject Reason Code, or Remittance Advice Remark Code that is not an ALERT.)
82%
Recovery Rate
7-14 days
Avg. Resolution
Medium
Difficulty
Common
Frequency
Recommended Action
Submit requested information with appeal; check RARC for specific missing document
Step-by-Step Resolution
- 1
Review the RARC code to identify the specific document(s) required
- 2
Gather the required documentation from the provider or medical records department
- 3
Submit the documentation through the payer's electronic attachment portal or fax
- 4
Resubmit the claim with the attachment reference number if required
- 5
Confirm receipt and track to adjudication
Common Remark Codes (RARC)
These RARC codes often appear alongside CARC 226 on remittance advice.
→ Submit complete supporting documentation
Payer-Specific Notes
How major payers handle CARC 226 in practice.
Aetna Dental
Contact Aetna provider services for clarification on this code.
Common 835 Combinations
CARC 226 most often appears with these Group Code + RARC combinations on 835 remittances.
Appeal Letter Template
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