What does CARC 238 mean?

CARC 238 means "Claim spans eligible and ineligible periods of coverage, this is the reduction for the ineligible period.". The recommended action is: Submit appeal with proof of timely filing; review contract filing deadline.

How do I resolve CARC 238?

Pull submission logs from your clearinghouse or payer portal Gather all proof of timely filing: submission confirmation, rejection notices, prior payments Submit a formal appeal with timely filing evidence attached If proof is insufficient, review internal workflows to prevent future occurrences Document the appeal and set a follow-up reminder for 30 days

Can CARC 238 be appealed?

CARC 238 has a 35% recovery rate and typically resolves in 21-45 days. Resolution difficulty is rated Hard.

CARC Code

238

🔴 Hard Denial

Claim spans eligible and ineligible periods of coverage, this is the reduction for the ineligible period.

35%

Recovery Rate

21-45 days

Avg. Resolution

Hard

Difficulty

Occasional

Frequency

Recommended Action

Submit appeal with proof of timely filing; review contract filing deadline

Step-by-Step Resolution

1
Pull submission logs from your clearinghouse or payer portal
2
Gather all proof of timely filing: submission confirmation, rejection notices, prior payments
3
Submit a formal appeal with timely filing evidence attached
4
If proof is insufficient, review internal workflows to prevent future occurrences
5
Document the appeal and set a follow-up reminder for 30 days

Payer-Specific Notes

How major payers handle CARC 238 in practice.

Cigna Dental

Cigna's timely filing limit is 365 days. Electronic clearinghouse confirmation accepted as proof.

Appeal Letter Template

Enter your email to access the full appeal template for CARC 238.

We are submitting a formal appeal for claim [CLAIM_NUMBER] for patient [PATIENT_NAME], date of service [DOS]. This claim was denied/adjusted with CARC 238 indicating: "Claim received after the Plan's contractual filing deadline.." We have reviewed the claim and are providing the attached documentation to support reconsideration. [SUPPORTING_DOCUMENTATION]. Please reconsider payment per the terms of our contract.

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