CARC 237CO · Contractual Obligation
This adjustment reflects a penalty required by law or regulation, separate from standard claim processing.
- Common causes
- A specific regulatory penalty program applies, such as certain quality-reporting penalty programs.
- Suggested fix
- Review the specific program or regulation that triggered the penalty and confirm compliance requirements going forward.
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 237 mean?
This adjustment reflects a penalty required by law or regulation, separate from standard claim processing.
How do I resolve CARC 237?
Review the specific program or regulation that triggered the penalty and confirm compliance requirements going forward.
Why does CARC 237 happen?
A specific regulatory penalty program applies, such as certain quality-reporting penalty programs.
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.