CARC 142: Monthly Medicaid patient liability amount.
Monthly Medicaid patient liability amount.
CARC 142 appears on the 835 ERA (Electronic Remittance Advice) that the payer returns after claim adjudication. It explains a reduction, denial, or payment adjustment to your billing team. For your practice, the question is workflow: identify the pattern, route the denial to the right resolution path (rebill, appeal, write-off), and recover what's recoverable without burning RVU time on dead-end fights.
What CARC 142 means
The official X12 description is: “Monthly Medicaid patient liability amount.”
In plain language: Monthly Medicaid patient liability amount.
Practice workflow for CARC X 142
Verify the EOB details. If you believe the code is misapplied, contact the carrier's member services or your provider's billing office.
CARC 142 group codes explained
On the 835 ERA, CARC 142 appears alongside a group code that signals who is financially responsible for the adjustment. PR (Patient Responsibility) — Patient owes this amount. Deductibles, coinsurance, copays, and excluded benefits land here.
Frequently asked questions
What does CARC 142 mean?
Monthly Medicaid patient liability amount. In plain language: Monthly Medicaid patient liability amount.
Is CARC 142 appealable?
CARC 142 is usually not appealable on its own — it's typically a contractual, informational, or routine adjustment. Verify the EOB details. If you believe the code is misapplied, contact the carrier's member services or your provider's billing office.
Which group code does CARC 142 appear under?
CARC 142 most often appears under: PR (Patient Responsibility) — Patient owes this amount. Deductibles, coinsurance, copays, and excluded benefits land here.
What should I do if I see CARC 142 on the 835?
Verify the EOB details. If you believe the code is misapplied, contact the carrier's member services or your provider's billing office.
Related resources
Sources
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