CARC · CO group
CO-252
An attachment or other documentation is required to adjudicate this claim
Contractual obligation; provider write-off unless appealed
- What it means
- The payer is waiting on records before it will pay.
- Likely cause
- Records requests routed to a fax number or portal nobody monitors.
- How to fix it
- Assign a single owner for documentation requests with a 5-business-day SLA, and log every submission with a confirmation.
- Revenue impact
- Fully recoverable, but the most commonly ignored pending category.
- documentation
- records request
- SLA
Early access
Seeing a lot of these?
Repeated CO-252 adjustments usually point to a step before submission. First Pass Paid is building pre-submission checks and a denial worklist to catch these earlier.
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