Denial Code CO 107 | Description, Reasons, Next Steps & How To Avoid It
Description: Denial code CO 107 refers to “The related or qualifying claim/service was not identified on this claim.”
This means that the submitted claim is missing information about a related or qualifying service necessary for proper adjudication.
Common Reasons for the Denial CO 107:
- Missing or incorrect information about a related or qualifying service on the claim.
- Failure to include the appropriate procedure code(s) for the related or qualifying service.
- Incorrect use of modifiers that indicate a related or qualifying service.
- Submitting a claim for a service that requires prior authorization without obtaining the necessary authorization.
Next Steps:
- Review the Explanation of Benefits (EOB) or Remittance Advice (RA) to identify the specific reason for the denial.
- To ensure accuracy and completeness, verify the claim information, including procedure codes, modifiers, and any required authorization.
- Correct any errors or omissions and resubmit the claim with the necessary information.
- If the denial is due to a lack of prior authorization, contact the payer to obtain the necessary authorization and resubmit the claim.
How to Avoid Denial CO 107 in the Future:
- Ensure that all required information about related or qualifying services is included on the claim, such as procedure codes and modifiers.
- Verify that the appropriate procedure codes are used for the related or qualifying services.
- Obtain any necessary prior authorizations before submitting a claim for services that require them.
- Implement a thorough claim review process to catch errors and omissions before submitting claims to the payer.