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184
CO - Contractual ObligationProvider
Denial Code CO-184: Referring Provider Not Eligible
What Does Code 184 Mean?
The referring provider is not eligible to refer the service billed. May be due to credentialing, licensing, or network status of the referring provider.
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 referring provider is not credentialed, not in-network, or not authorized to make referrals.
How to Resolve It
- 1Verify the referring provider's network status
- 2Obtain a referral from an eligible provider
- 3Resubmit with a valid referring provider NPI
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