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Documentation request usually correctableDenial Code CARC 252: An attachment / other documentation is required to adjudicate the claim
CARC 252 means: an attachment / other documentation is required to adjudicate the claim. Here's what it means in plain English, why it happens, and how it's worked toward payment.
Why you get a CARC 252 denial
- The payer needs records (notes, op report, invoice) to process the claim.
- Required documentation wasn't sent with the original claim.
- The wrong or incomplete documentation was submitted.
How to fix or appeal CARC 252
- Identify exactly which documentation the payer requires.
- Submit the complete records through the payer's preferred channel.
- Track to ensure the claim is reprocessed after the documentation is received.
Highly recoverable — it's a documentation request, not a coverage denial. Send what's asked and it processes.
CARC 252 — FAQ
Is CARC 252 a denial?
Not really a coverage denial — the payer needs supporting documentation to adjudicate. Submit the requested records and the claim typically processes.
What documentation does CARC 252 need?
It varies — often clinical notes, an operative report, or an invoice. The remark detail or a quick payer call clarifies exactly what's required.