CARC 241: Low Income Subsidy (LIS) Co-payment Amount.
Low Income Subsidy (LIS) Co-payment Amount.
CARC 241 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 241 means
The official X12 description is: “Low Income Subsidy (LIS) Co-payment Amount.”
In plain language: Low Income Subsidy (LIS) Co-payment Amount.
Practice workflow for CARC X 241
Verify the EOB details. If you believe the code is misapplied, contact the carrier's member services or your provider's billing office.
CARC 241 group codes explained
On the 835 ERA, CARC 241 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 241 mean?
Low Income Subsidy (LIS) Co-payment Amount. In plain language: Low Income Subsidy (LIS) Co-payment Amount.
Is CARC 241 appealable?
CARC 241 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 241 appear under?
CARC 241 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 241 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
Contact: hello@approvalhelp.com