Home / Denial Codes / CARC 27
CARC 27Eligibility Appealable

Expenses incurred after coverage terminated

~20.00%
Estimated appeal win rate for CARC 27 denials

What Does CARC 27 Mean?

CARC 27 — "Expenses incurred after coverage terminated" — is a Claim Adjustment Reason Code used by payers to indicate why a claim or service line was adjusted. This code falls under the Eligibility category.

Is CARC 27 Appealable?

Yes, CARC 27 is appealable. With proper documentation and a well-crafted appeal, this denial code has an estimated win rate of approximately 20.00%. While the win rate is moderate, strong clinical documentation can significantly improve your chances.

Appeal Letter Template

.DOCX

Customize the fields below to generate a ready-to-send appeal letter for CARC 27. Downloads as a formatted Word document.

Letter Body (editable)

Letter Preview

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March 26, 2026

[Payer Name]

[Payer Address]

RE: Appeal for Claim #[Claim Number]
Patient: [Patient Name] | Member ID: [Member ID]
Date of Service: [Date of Service] | Denied Amount: $[Denied Amount]

Dear Claims Review Department,

I am writing to formally appeal the denial of the above-referenced claim, denied with CARC 27: "Expenses incurred after coverage terminated".

Enclosed please find supporting documentation for your review. We respectfully request reconsideration and payment of $[Denied Amount].

Sincerely,

[Provider Name]

[NPI] | [Phone]

[Practice/Organization Name]

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