CARC 27: Service after coverage ended
The date of service is after the patient's coverage ended.
Group code context
Often sent with group code PR.
Common causes
- Patient changed jobs or plans
- Coverage ended for non-payment
- Medicaid eligibility lapsed
Step-by-step fix
- Check eligibility for the date of service
- Ask the patient for their new coverage and bill it
- If there was no coverage, bill the patient
Appeal guidance
Appeal only if the coverage end date on file is wrong.
When not to appeal
Do not appeal when coverage really ended.
Prevention checklist
- Verify eligibility before every visit
- Ask about insurance changes at check-in
Related codes
CARC 26: Service before coverage started
CARC 109: Not covered by this payer, send to the correct payer
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Source and review
Official source ↗Last checked: 2026-10-05
Reviewed by: PracticeVendors editorial team
Educational reference. Confirm payer instructions and applicable contracts before taking action.