835 Denial Combination
CO-226+N275
Contractual Obligation · Claim-Level Adjustment
What This Combination Means
Additional medical information is needed — the medical record is missing or incomplete for adjudication purposes.
82%
Appeal Success
7-14 days
Avg. Resolution
Easy
Difficulty
Yes
Appealable
Step-by-Step Resolution
Steps tailored specifically to this CO-226+N275 combination — not generic advice.
- 1
Pull the complete medical record for the date of service.
- 2
Confirm all required elements are present and legible.
- 3
Submit via the payer's electronic attachment portal or required method.
- 4
Include patient name, claim number, and DOS on all pages.
- 5
Follow up after 15 business days.
Specialty Context
How CO-226+N275 typically presents across different practice types.
Dental
Verify additional medical information is needed — the medical record is missing or incomplete for adjudication purposes per your dental plan contract and documentation requirements.
Medical
Confirm additional medical information is needed — the medical record is missing or incomplete for adjudication purposes against payer policy and submit corrected claim as needed.
Behavioral Health
Apply behavioral health parity rules and confirm additional medical information is needed — the medical record is missing or incomplete for adjudication purposes per MHPAEA standards.
Individual Code References
View the standalone definition for each code in this combination.
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