835 Denial Combination

CO-252+N275

CO

Contractual Obligation · Claim-Level Adjustment

What This Combination Means

Required attachment missing — the payer is requesting additional medical information or documentation (N275) before the claim can be processed. This is a broad 'additional info needed' remark often used for itemized bills, records, or coordination of benefits documentation.

82%

Appeal Success

10-21 days

Avg. Resolution

Easy

Difficulty

Yes

Appealable

Step-by-Step Resolution

Steps tailored specifically to this CO-252+N275 combination — not generic advice.

  1. 1

    Call the payer or check the portal to identify exactly what additional information they need — the remark N275 alone is broad.

  2. 2

    Gather the requested documentation and ensure it is complete, legible, and covers the relevant service dates.

  3. 3

    Submit via the payer's required method with the claim number clearly referenced.

  4. 4

    If the payer is requesting an itemized bill, generate one from your practice management system and verify all charges align with the claim submitted.

  5. 5

    Follow up to confirm receipt and request a re-adjudication timeline.

Specialty Context

How CO-252+N275 typically presents across different practice types.

Dental

Additional documentation requests may include the full treatment plan, periodontal charting, or a narrative explaining why a procedure was necessary.

Medical

Common for inpatient claims requiring itemized bills, for ambulance claims requiring physician certification, and for durable medical equipment claims requiring certificates of medical necessity.

Behavioral Health

Payers may request the initial assessment, diagnosis, and treatment plan for ongoing therapy claims, especially for outpatient behavioral health carve-outs.

Individual Code References

View the standalone definition for each code in this combination.

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