835 Denial Combination

CO-226+N460

CO

Contractual Obligation · Claim-Level Adjustment

What This Combination Means

Information from the provider is insufficient — N460 indicates specific information requested was not provided or was unclear.

75%

Appeal Success

7-14 days

Avg. Resolution

Easy

Difficulty

Yes

Appealable

Step-by-Step Resolution

Steps tailored specifically to this CO-226+N460 combination — not generic advice.

  1. 1

    Identify exactly what information the payer requested from the denial or remittance notice.

  2. 2

    Gather the specific documentation or data element requested.

  3. 3

    Submit the information via the payer's preferred method with the claim reference.

  4. 4

    Follow up in 10-15 business days to confirm adjudication.

  5. 5

    Document the information type requested for future claims.

Specialty Context

How CO-226+N460 typically presents across different practice types.

Dental

Verify information from the provider is insufficient — n460 indicates specific information requested was not provided or was unclear per your dental plan contract and documentation requirements.

Medical

Confirm information from the provider is insufficient — n460 indicates specific information requested was not provided or was unclear against payer policy and submit corrected claim as needed.

Behavioral Health

Apply behavioral health parity rules and confirm information from the provider is insufficient — n460 indicates specific information requested was not provided or was unclear per MHPAEA standards.

Individual Code References

View the standalone definition for each code in this combination.

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