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Denial Code CARC 27: Expenses incurred after coverage terminated

CARC 27 means: expenses incurred after coverage terminated. Here's what it means in plain English, why it happens, and how it's worked toward payment.

Why you get a CARC 27 denial

• The patient's coverage had ended on the date of service.
• The payer's eligibility record is wrong (coverage was actually active).
• The patient had other active coverage on that date.

How to fix or appeal CARC 27

1. Re-verify eligibility for the exact date of service.
2. If coverage was active, submit proof of eligibility and rebill.
3. If another plan was active, bill that payer; if truly uncovered, follow the patient-responsibility protocol.

Recoverable when eligibility was actually active or another payer applies; otherwise it becomes patient responsibility.

CARC 27 — FAQ

What does CARC 27 mean?

The payer believes coverage had ended before the service date. Verify eligibility for that exact date — payer records are sometimes wrong.

Can a CARC 27 denial be overturned?

Yes, if you can show the patient was eligible on the date of service, or identify the correct active payer.