CARC 170CO · Contractual Obligation
This payer doesn't reimburse this specific provider type for this service.
- Common causes
- The rendering provider's specialty or licensure type isn't recognized by the payer as eligible to bill this particular service.
- Suggested fix
- Confirm the payer's coverage policy for which provider types can bill this service; rebill under a qualifying supervising or rendering provider if applicable.
Related Contractual Obligation codes
107This claim depends on another related claim or service being referenced, but that link wasn't provided.11The diagnosis code doesn't support medical necessity for the procedure billed, based on the payer's coverage edits.13The claim shows a date of service after the patient's recorded date of death.146The diagnosis code billed wasn't a valid, active code as of the date of service.150The documentation submitted doesn't justify the complexity or level of the service billed, commonly seen with evaluation and management visit levels.16The claim is missing required information or contains a billing error that prevented the payer from processing it.171This payer doesn't cover this service when it's billed by this provider type in this particular facility setting.172The payment amount was adjusted because of the rendering provider's specialty designation.
Frequently asked questions
What does CARC 170 mean?
This payer doesn't reimburse this specific provider type for this service.
How do I resolve CARC 170?
Confirm the payer's coverage policy for which provider types can bill this service; rebill under a qualifying supervising or rendering provider if applicable.
Why does CARC 170 happen?
The rendering provider's specialty or licensure type isn't recognized by the payer as eligible to bill this particular service.
CARC codes maintained by X12 (x12.org). Descriptions on this site are original reference interpretations. Always verify codes with authoritative sources before making billing decisions.