835 Denial Combination
CO-119+N756
Contractual Obligation · Claim-Level Adjustment
What This Combination Means
Benefit maximum has been reached — N756 confirms the limit has been met and the member has been notified.
N/A
Appeal Success
3-7 days
Avg. Resolution
Easy
Difficulty
No
Appealable
Step-by-Step Resolution
Steps tailored specifically to this CO-119+N756 combination — not generic advice.
- 1
Confirm the exhausted benefit via an eligibility check.
- 2
Inform the patient that their benefit maximum has been reached for this service type.
- 3
Explore secondary coverage options.
- 4
Offer self-pay rates or payment plan for remaining services.
Specialty Context
How CO-119+N756 typically presents across different practice types.
Dental
Verify benefit maximum has been reached — n756 confirms the limit has been met and the member has been notified per your dental plan contract and documentation requirements.
Medical
Confirm benefit maximum has been reached — n756 confirms the limit has been met and the member has been notified against payer policy and submit corrected claim as needed.
Behavioral Health
Apply behavioral health parity rules and confirm benefit maximum has been reached — n756 confirms the limit has been met and the member has been notified per MHPAEA standards.
Individual Code References
View the standalone definition for each code in this combination.
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