CARC code 22 — This care may be covered by another payer per coordination of benefits

What CARC 22 means

Coordination-of-benefits denials involve disagreement about which insurer should pay first when you have multiple coverages (e.g., spouse's plan + your plan, or Medicare + employer plan).

How to appeal a CARC 22 denial

Appeals usually resolve once the correct ordering is established and documented. Supplying both insurers' coverage details and the date each plan started often resolves the dispute.

What InsureDefense adds

Our triage classifies your specific denial into one of ten categories and tells you exactly what evidence appeals like yours typically need. For CARC 22 denials, we usually recommend the tier that fits the category of the denial — sometimes Strong ($249) is enough, sometimes Premium ($499) with plan-language citations and peer-reviewed support is the right path. The free triage shows you which.

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