AGAR Guide
CARC238ReferenceCurrentVerified Aug 15, 2026

CARC 238

AR Guide Workflow

Patient Responsibility

The amount is the patient's responsibility under the plan — deductible, coinsurance, copayment, or a non-covered amount the patient may be billed.

Open denial workflow

AR Guide explanation

What it means

The claim spans eligible and ineligible periods of coverage; this reduction is for the ineligible period. Used with group code PR.

AR Guide knowledge

Common denial category

Patient Responsibility — The amount is the patient's responsibility under the plan — deductible, coinsurance, copayment, or a non-covered amount the patient may be billed.

AR Guide knowledge

Common causes

  • Coverage began or ended mid-claim
  • Claim spans a coverage gap

AR Guide knowledge

What AR should verify

  1. Determine the ineligible portion of the claim
  2. Confirm the coverage dates

AR Guide knowledge

Recommended action

  1. Bill the patient for the ineligible period per plan rules
  2. If the coverage dates are wrong, appeal with correct eligibility evidence

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.