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195
CO - Contractual ObligationPayment Adjustment
Denial Code CO-195: Refund Due from Provider
What Does Code 195 Mean?
Refund of overpayment is due back to the payer. A previous payment was made in error and the payer is requesting a refund.
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?
Prior claim was overpaid and the payer is recouping the overpayment.
How to Resolve It
- 1Verify the overpayment amount is correct
- 2Process the refund or set up a payment plan
- 3If you disagree, dispute with documentation of correct payment
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