AGAR Guide
CARC22ReferenceCurrentVerified Aug 15, 2026

CARC 22

AR Guide Workflow

Coordination of Benefits

Another plan may be primary, the primary's payment was not applied correctly, or the claim belongs with a different payer under COB rules.

Open denial workflow

AR Guide explanation

What it means

This care may be covered by another payer under coordination of benefits.

AR Guide knowledge

Common denial category

Coordination of Benefits — Another plan may be primary, the primary's payment was not applied correctly, or the claim belongs with a different payer under COB rules.

AR Guide knowledge

Common causes

  • Multiple insurance plans on file
  • Primary payer not billed first
  • COB information missing or stale

AR Guide knowledge

What AR should verify

  1. Confirm the patient's insurance order of benefits
  2. Check whether the other payer has been billed
  3. Verify COB information on file is current

AR Guide knowledge

Recommended action

  1. Bill the primary payer per COB order
  2. Update COB records if the coverage order has changed

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.