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161
CO - Contractual ObligationCoverage
Denial Code CO-161: Injury/Illness Related to Auto Accident
What Does Code 161 Mean?
Injury/illness was the result of an auto accident. Claim should be filed under the auto insurance policy.
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?
Service related to a motor vehicle accident should be covered by auto insurance.
How to Resolve It
- 1File the claim with the auto insurance carrier
- 2Obtain the auto insurance claim number
- 3If not auto-related, provide documentation and resubmit to health plan
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