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22
OA - Other AdjustmentCoverage

Denial Code OA-22: Coordination of Benefits

What Does Code 22 Mean?

This care may be covered by another payer per coordination of benefits. The payer believes another insurance should be primary.

Group Code OA (Other Adjustment): An adjustment that does not fall into the CO or PR categories. May need to be investigated further.

Why Does This Happen?

Patient has multiple insurance plans and this payer believes it is secondary, not primary.

How to Resolve It

  1. 1Verify coordination of benefits order
  2. 2Submit to the primary payer first
  3. 3Resubmit to this payer with the primary payer's EOB

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