CARC · CO group

CO-27

Expenses incurred after coverage terminated

Contractual obligation; provider write-off unless appealed

What it means

The patient's plan was not active on the date of service.

Likely cause

No eligibility check at the time of service, or a plan that terminated mid-month.

How to fix it

Verify eligibility on every date of service. If coverage truly ended, rebill to the new payer or convert to patient responsibility per your financial policy.

Revenue impact

Often written off unnecessarily when a new plan exists.

• eligibility
• terminated coverage