December 15, 2021

State of Alabama
Press Release: Medicaid

Coming Soon: Upcoming Changes to CARC Code 45

PDF Version


------ NOTE: THIS ALERT IS AN UPDATE TO THE ALERT DATED NOVEMBER 5, 2021 ------

 

 

TO:  All Providers

 

RE:   Coming Soon: Upcoming Changes to CARC Code 45

 

Changes described in the ALERT dated November 5, 2021, regarding the replacement of Claim Adjustment Reason Code (CARC) Code 45 with CARC Code (96) will not be implemented. Gainwell verified CARC Code 45 still conforms to the Payment & Remittance Uniform Use of CARCs and RARCs (835) Rule.

As a result, Alabama Medicaid will continue using CARC Code 45 to indicate pricing adjustments to payments due to fee schedules/allowed amounts.

 

Providers with questions concerning the upcoming change can email interChange_testing@DXC.com.


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  • For more information, visit http://medicaid.alabama.gov
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