CARC 250 Active

OA-250: Incorrect Attachment/Documentation Received

TL;DR

OA-250 means the wrong document was submitted in a COB scenario. Send the correct document and resubmit to the secondary payer.

Action
Verify & Resubmit
Who Pays
Depends
Appeal
No
Patient Impact
Indirect
Disclaimer
This content is for informational purposes only and does not constitute professional billing advice. Always verify information against your payer contracts and current coding guidelines. Consult a certified billing specialist for specific claim issues.

What Does OA-250 Mean?

When paired with Group Code OA, the incorrect attachment typically involves a coordination of benefits scenario where the wrong document was sent to the secondary payer. The resolution is the same — locate and submit the correct document.

CARC 250 indicates that the payer received an attachment or supporting document with your claim, but it was the wrong one. The document the payer actually needs has not been provided. This is distinct from CARC 251 (incomplete documentation) — with CARC 250, the problem is not that the document is missing pages or details, but that an entirely incorrect document was submitted.

Common scenarios include sending medical records for the wrong patient, attaching operative notes when office visit notes were requested, submitting an outdated version of a required document, or having an electronic attachment linking error where the wrong file was associated with the claim.

The accompanying RARC codes on the remittance advice are important because they specify what document the payer was expecting. Review these codes carefully before resubmitting to ensure you send the correct attachment the second time.

Common Causes

Cause Frequency
Incorrect attachment in COB context The wrong document was submitted in a coordination of benefits scenario Common

How to Resolve

  1. Identify the correct document needed Determine what the secondary payer requires, typically the primary payer's EOB or specific clinical documentation.
  2. Submit the correct document Send the right document to the secondary payer and resubmit the claim.
Do Not Appeal This Code

Submit the correct document and resubmit the claim.

How to Prevent OA-250

General Prevention

Also Filed As

The same CARC 250 may appear with different Group Codes:

Related Denial Codes

Sources

  1. https://x12.org/codes/claim-adjustment-reason-codes
  2. https://portal.ct.gov/-/media/ohs/health-it-advisory-council/apcd-advisory-group/data-submission-guide-workgroup/meeting-materials/6-30-22/carc-codes_final.pdf
  3. https://www.aapc.com/resources/claim-adjustment-reason-codes
  4. Codes maintained by X12. Visit x12.org for official definitions.