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160
CO - Contractual ObligationCoverage
Denial Code CO-160: Injury/Illness Related to Work
What Does Code 160 Mean?
Injury/illness was the result of work-related activities. Claim should be filed under workers' compensation insurance.
Group Code CO (Contractual Obligation): The provider has agreed to accept the payer's determination. The patient is generally not responsible for this amount.
Why Does This Happen?
The service is related to a workplace injury and should be covered by workers' comp.
How to Resolve It
- 1Verify if the injury is work-related
- 2File the claim with the workers' compensation carrier
- 3If not work-related, provide documentation and resubmit
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