Back to All Codes
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
- 1Verify coordination of benefits order
- 2Submit to the primary payer first
- 3Resubmit to this payer with the primary payer's EOB
Want the full strategy?
The P2P Playbook covers payer-specific approaches for denial code OA-22 -- plus 15 denial objections with word-for-word responses, what reviewers are actually thinking, and the 60-second prep framework. Written by a medical director who reviewed cases for major payers.
Get The P2P Playbook -- $39