Denial code · Contractual Obligation (CO)
CO-204 denial code
This service is not covered under this person's current plan.
What the code means
Official meaning: This service/equipment/drug is not covered under the patient's current benefit plan
In plain words: This service is not covered under this person's current plan.
The usual fix
Check the plan's list of covered services. If it should be covered, ask the payer to look again with the plan details.
This is general information, not advice on a specific claim.
Learn on the job
Learn on the job with real denied claims.
Working denied claims is the medical claims desk's daily work. Read a code, find what is missing, fix the claim, or write the appeal.