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187
CO - Contractual ObligationProvider
Denial Code CO-187: Customer/Ordering Provider Not on File
What Does Code 187 Mean?
The ordering/referring provider is not on file with the payer. The payer has no record of this provider in their system.
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 ordering provider has not enrolled or credentialed with this payer.
How to Resolve It
- 1Verify the ordering provider is enrolled with the payer
- 2Have the ordering provider initiate enrollment if needed
- 3Resubmit once the provider is on file
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