InsuranceClaims

Coordination of Benefits

Mastering Coordination of Benefits (COB) to Prevent CO-22 Denials and Maximize Reimbursement

Leave a Comment / August 2024, Denial Management

As a healthcare provider, navigating Coordination of Benefits (COB) can feel like solving a complex puzzle. When patients have multiple insurance plans, determining which payer is primary and which is secondary is crucial to getting paid. Incorrectly managing COB can lead to claim denials, particularly with the CO-22 code, which often stems from issues related […]

Mastering Coordination of Benefits (COB) to Prevent CO-22 Denials and Maximize Reimbursement Read More »

CO 242 denial

CO 242 Denials: How to Prevent Out-of-Network Claim Rejections & Optimize Revenue

Leave a Comment / Denial Management, July 2024

CO 242 denials can be a frustrating financial setback for healthcare providers. This denial, indicating that services were provided by an out-of-network or unauthorized provider, often stems from insurance network issues, referral mismanagement, and coding errors. Without proper preventative measures, these denials can disrupt cash flow, delay reimbursements, and increase administrative burdens. What Causes a

CO 242 Denials: How to Prevent Out-of-Network Claim Rejections & Optimize Revenue Read More »