CARC Code
115
Procedure Postponed, Canceled, or Delayed
The insurance company is denying or adjusting the claim because the scheduled procedure did not happen as planned—it was either postponed to a later date, canceled entirely, or delayed.
contractualHow to resolve this denial
Identify the correct payer and resubmit; update billing records
- 1
Verify whether the patient has coverage through another insurance plan
- 2
Identify the correct payer order (primary, secondary, tertiary)
- 3
Submit or resubmit the claim to the appropriate payer
- 4
Include the primary payer's EOB when billing secondary insurance
- 5
Document coordination of benefits information in the patient account
▶✓ Pre-action checklist — verify before contacting the payer
Review the full remittance advice (ERA/EOB) for additional RARC codes that explain the denial.
Verify the claim was submitted with correct patient eligibility and benefit information.
Check if this denial applies to a specific line item or the entire claim.
▶More about CO-115 — stats, related codes, appeal template
95%
Recovery Rate
3-7 days
Avg. Resolution
Easy
Difficulty
Occasional
Frequency
Payer-Specific Notes
How major payers handle CARC 115 by specialty.
UnitedHealthcare
Review UHC's online claim status tool for additional detail on this adjustment.
Appeal Letter Template
Generic appeal template for CARC 115 denials.
We are submitting a formal appeal for claim [CLAIM_NUMBER] for patient [PATIENT_NAME], date of service [DOS]. This claim was denied/adjusted with CARC 115 indicating: "Claim submitted to incorrect payer.." We have reviewed the claim and are providing the attached documentation to support reconsideration. [SUPPORTING_DOCUMENTATION]. Please reconsider payment per the terms of our contract.
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