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162
CO - Contractual ObligationCoverage
Denial Code CO-162: Injury/Illness Related to Other Accident
What Does Code 162 Mean?
Injury/illness is the result of an accident other than auto or work. Claim may need to be filed under liability or other 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?
Third-party liability situation where another insurance should be primary.
How to Resolve It
- 1Determine the liable party's insurance
- 2File with the appropriate liability carrier
- 3If no other coverage, resubmit with documentation
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