CARC Code
117
Transport to Closest Appropriate Facility
The insurance company denied or reduced payment because the patient was transported to a facility that was not the nearest one capable of providing the required medical care. They will only pay for transport to the closest appropriate facility.
contractualHow to resolve this denial
Add signature-on-file indicator to the claim and resubmit
- 1
Pull the original claim and review the specific field flagged by the RARC code
- 2
Compare claim data against the patient's insurance card and eligibility response
- 3
Correct the identified field(s) in the practice management system
- 4
Resubmit the corrected claim via the payer portal or clearinghouse
- 5
Confirm receipt and track the corrected claim to adjudication
▶✓ 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-117 — stats, related codes, appeal template
95%
Recovery Rate
3-7 days
Avg. Resolution
Easy
Difficulty
Rare
Frequency
Payer-Specific Notes
How major payers handle CARC 117 by specialty.
UnitedHealthcare
Review UHC's online claim status tool for additional detail on this adjustment.
Appeal Letter Template
Generic appeal template for CARC 117 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 117 indicating: "Claim requires signature-on-file indicator.." 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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