Denial Codes and Solutions

This CPT code billed is not paid separately. It means the procedure code billed is not qualified for separate payment.

Insurance will deny the claim with denial code 226 for the following 3 reasons. 1)Information requested from the Doctor (Billing

Denial Code CO 288 signifies that a claim has been rejected due to a missing referral. This code is used

A documentation/an attachment is essential to decide this claim/service. When encountering a CO 252 denial code from an insurance company,

CPT-code is in-consistent with the provider-type or specialty(Taxonomy). When a healthcare provider bills a procedure code that does not match

The CPT-Code/revenue-code doesn’t match the patient’s age. Denial Code CO 6 arises when the discrepancies between the CPT codes/revenue codes

CO 5 Denial Code: The procedure code or type of bill inconsistent with the place-of-service. It means Procedure code is

When an insurance company processes a claim and applies it towards a patient’s deductible it will be indicated with PR

When a service, equipment, or drug is not covered by a patient’s insurance plan, claims are often denied with the

Denial Codes with actions No Claim on file Claim is in process Claim Paid Status PR 1 – Claim applied