CARC 268: The Claim spans two calendar years. Please resubmit one claim per calendar year.
The Claim spans two calendar years. Please resubmit one claim per calendar year.
CARC 268 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 268 means
The official X12 description is: “The Claim spans two calendar years. Please resubmit one claim per calendar year.”
In plain language: The Claim spans two calendar years. Please resubmit one claim per calendar year.
Practice workflow for CARC X 268
Verify the EOB details. If you believe the code is misapplied, contact the carrier's member services or your provider's billing office.
CARC 268 group codes explained
On the 835 ERA, CARC 268 appears alongside a group code that signals who is financially responsible for the adjustment. CO (Contractual Obligation) — Contractual write-off. The provider agreed to the rate. Patient does NOT owe this amount.
Frequently asked questions
What does CARC 268 mean?
The Claim spans two calendar years. Please resubmit one claim per calendar year. In plain language: The Claim spans two calendar years. Please resubmit one claim per calendar year.
Is CARC 268 appealable?
CARC 268 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 268 appear under?
CARC 268 most often appears under: CO (Contractual Obligation) — Contractual write-off. The provider agreed to the rate. Patient does NOT owe this amount.
What should I do if I see CARC 268 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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