CARC200ReferenceCurrentVerified Aug 15, 2026CARC 200
AR Guide Workflow
Eligibility & Coverage
Coverage could not be verified or was not active for the date of service — member not found, coverage lapsed, or eligibility requirements not met.
AR Guide explanation
What it means
Expenses were incurred during a lapse in coverage.
AR Guide knowledge
Common denial category
Eligibility & Coverage — Coverage could not be verified or was not active for the date of service — member not found, coverage lapsed, or eligibility requirements not met.
AR Guide knowledge
Common causes
- Coverage lapse between terms
- Service date during an uncovered period
AR Guide knowledge
What AR should verify
- Verify the coverage status for the date of service
- Confirm the lapse dates
AR Guide knowledge
Recommended action
- If coverage was later reinstated retroactively, appeal with the reinstatement
- Otherwise bill per applicable rules
About this guidance: Note
AR Guide knowledge is general reference content written by our team — it is not payer-specific policy and never replaces the payer’s documentation or your contract. Always confirm specifics with the payer.