← Back to Code Directory
CARC
CO-31
CARC
CO — Contractual Obligation
Eligibility
Quick Facts
Code
CO-31
Type
CARC
Category
Eligibility
Status
Active
Patient cannot be identified as our insured
What Does This Code Mean?
The payer’s records don’t show this patient as a covered member under the plan/ID submitted.
Common Causes
- Wrong member ID or subscriber information submitted
- Patient's coverage was never active with this payer
Recommended Next Steps
- Verify the member ID and subscriber details directly with the patient or their ID card
- Confirm eligibility for the date of service before resubmitting
Recently Viewed
Educational reference only — not medical or legal advice. Always confirm code usage and appeal rights with the specific payer.