CARC Code
92
Claim Paid in full.
How to resolve this denial
Submit appeal with proof of timely filing; verify electronic submission logs
- 1
Pull submission logs from your clearinghouse or payer portal
- 2
Gather all proof of timely filing: submission confirmation, rejection notices, prior payments
- 3
Submit a formal appeal with timely filing evidence attached
- 4
If proof is insufficient, review internal workflows to prevent future occurrences
- 5
Document the appeal and set a follow-up reminder for 30 days
▶✓ 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-92 — stats, related codes, appeal template
35%
Recovery Rate
21-45 days
Avg. Resolution
Hard
Difficulty
Rare
Frequency
Payer-Specific Notes
How major payers handle CARC 92 by specialty.
UnitedHealthcare
UHC allows 180 days from DOS for most commercial plans. Check specific plan filing window.
Appeal Letter Template
Generic appeal template for CARC 92 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 92 indicating: "Claim received after cutoff date.." 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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