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200
CO - Contractual ObligationCoverage

Denial Code CO-200: Expenses Before Effective Date

What Does Code 200 Mean?

Expenses incurred during a lapse in coverage. Service was rendered during a period when the patient's coverage was not active.

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?

Gap in coverage -- patient's insurance was not active on the date of service.

How to Resolve It

  1. 1Verify exact coverage dates with the payer
  2. 2Check for retroactive coverage options
  3. 3Bill the patient or alternate coverage

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