Denial code CO 22 & 109 and CO 24, CO 120

CO 22 and 109

This care may be covered by another payer per coordination of benefits.
Claim not covered by this payer/contractor. You must send the claim to the correct payer/contractor.

Submit the claims to Primary carrier. If patient said there is no primary insurance then ask patient to call Medicare and update as Medicare is primary. After this process resubmit the claims and it will be processed.

CO 24 and CO 120
Charges are covered under a capitation agreement/managed care plan
Patient is covered by a managed care plan.

As per Medicare, patient has Medicare advantage plan or HMO plan. Check the Medicare eligibility through IVR and find the HMO information or call the patient and get the information. File the claim to HMO.

Leave a Reply

Your email address will not be published. Required fields are marked *


You may use these HTML tags and attributes: <a href="" title=""> <abbr title=""> <acronym title=""> <b> <blockquote cite=""> <cite> <code> <del datetime=""> <em> <i> <q cite=""> <strike> <strong>