CARC Code

8

๐ŸŸก Soft Denial

The procedure code is inconsistent with the provider type/specialty (taxonomy).

82%

Recovery Rate

7-14 days

Avg. Resolution

Medium

Difficulty

Occasional

Frequency

Recommended Action

Verify provider taxonomy and correct the procedure code

Step-by-Step Resolution

  1. 1

    Pull the original claim and review the specific field flagged by the RARC code

  2. 2

    Compare claim data against the patient's insurance card and eligibility response

  3. 3

    Correct the identified field(s) in the practice management system

  4. 4

    Resubmit the corrected claim via the payer portal or clearinghouse

  5. 5

    Confirm receipt and track the corrected claim to adjudication

Payer-Specific Notes

How major payers handle CARC 8 in practice.

Delta Dental

Delta frequently returns CO-8 for ADA code and diagnosis mismatches. Verify code pairing.

Common 835 Combinations

CARC 8 most often appears with these Group Code + RARC combinations on 835 remittances.

Look up any combination โ†’

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