CO150 denial code description and corrective action

• This denial mostly occurs due to coding issues (medical necessity).

• Sometimes, reaching the maximum benefits for a service may also cause this denial.

• Sometimes, this denial may also occur if the insurance requires medical records to support the service.

Actions

• First, we need to verify the status of the claim. This can be done by checking the status through the insurance web portal or by calling the payer.

• The most important step is to determine whether the claim denial is valid or if the insurance has denied the claim by mistake.

• Call the insurance company to confirm the exact denial reason and proceed accordingly.

• If the claim is denied due to a coding issue (medical necessity), then click here for further steps.

• If the claim is denied because the maximum benefits have been reached, then click here for further steps.

• If the claim is denied because the insurance requires supporting data (medical records), then click here for further steps.

Description