Denial · CARC 16
BILLING_ERROR · NORTHSTAR MUTUAL
Classification
| Field | Value |
|---|---|
| Primary CARC | 16 |
| All CARCs | 16 |
| Root cause | BILLING_ERROR |
| Owns the fix | Billing Related |
| Appealable | yes |
| Recoverable | yes |
| Recommended action | Claim lacks information. Read the accompanying RARC for what is missing. |
| Payer | NORTHSTAR MUTUAL |
| Denial date | 4 Aug 2024 |
| Appeal deadline | 31 Jan 2025 |
Denial workflow
| Field | Value |
|---|---|
| Current status | new |
| Appeal outcome | not recorded |
| Closure reason | not applicable |
What this denial means, and to whom
CARC 16 recurs across 929 denials
CARC 16 appears on 929 denials in the ingested corpus — 7.2% of 12,891 — carrying $326,588.34 withheld in total. This volume warrants a management investigation across payers, services, locations and evidence results. The shared CARC does not yet establish a shared cause or a single corrective action. Split these cases by evidence result before choosing an intervention, then compare by payer, specialty, location and period.
From: Count and denied value of every denial sharing CARC 16, across the ingested remittances.
Limits: These are counts within the loaded corpus and its reporting period, not the full book of business. A shared reason code is recurrence, not a shared cause: the cases grouped here may arise from different payers, services and failures, and no department is implicated by the count alone.
Adjustments
| Level | Code | Amount | Counts as |
|---|---|---|---|
| line | PI/16 | 278.00 | withheld |