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:

  1. Review the Explanation of Benefits (EOB) or Remittance Advice (RA) to identify the specific reason for the denial.
  2. To ensure accuracy and completeness, verify the claim information, including procedure codes, modifiers, and any required authorization.
  3. Correct any errors or omissions and resubmit the claim with the necessary information.
  4. 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.

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