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237
CO - Contractual ObligationPayment Adjustment

Denial Code CO-237: Legislated/Regulatory Adjustment

What Does Code 237 Mean?

Legislated/regulatory penalty or adjustment. Payment reduced based on a government-mandated reduction or penalty.

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?

CMS or state-mandated payment reduction (e.g., HAC, readmission penalty, value-based).

How to Resolve It

  1. 1Verify which legislative/regulatory provision applies
  2. 2Review quality measures if related to value-based penalties
  3. 3Generally not appealable but verify the calculation

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