CARC 217CO · Contractual ObligationDeactivated 2014-07-01
Payment was based on what the payer determined to be reasonable and customary charges for the service, under property & casualty rules.
- Common causes
- Property & casualty payers, such as auto or liability insurers, applying their own fee benchmarks rather than a standard contracted rate.
- Suggested fix
- This code was deactivated by X12 in 2014. On legacy remittances, review the payer's fee determination methodology if disputing the amount.
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.170This payer doesn't reimburse this specific provider type for this service.171This payer doesn't cover this service when it's billed by this provider type in this particular facility setting.
Frequently asked questions
What does CARC 217 mean?
Payment was based on what the payer determined to be reasonable and customary charges for the service, under property & casualty rules.
How do I resolve CARC 217?
This code was deactivated by X12 in 2014. On legacy remittances, review the payer's fee determination methodology if disputing the amount.
Why does CARC 217 happen?
Property & casualty payers, such as auto or liability insurers, applying their own fee benchmarks rather than a standard contracted rate.
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.