835 Denial Combination
CO-45+N435
Contractual Obligation · Service-Line Level Adjustment
What This Combination Means
Payment adjustment for fee schedule discrepancy — N435 confirms the payment reflects the plan's fee schedule maximum.
N/A
Appeal Success
1-5 days
Avg. Resolution
Easy
Difficulty
No
Appealable
Step-by-Step Resolution
Steps tailored specifically to this CO-45+N435 combination — not generic advice.
- 1
Verify the allowed amount against your contracted fee schedule.
- 2
If payment is below contract rate, file a contract compliance dispute.
- 3
Post the write-off if the allowed amount is correct per your contract.
Specialty Context
How CO-45+N435 typically presents across different practice types.
Dental
Verify payment adjustment for fee schedule discrepancy — n435 confirms the payment reflects the plan's fee schedule maximum per your dental plan contract and documentation requirements.
Medical
Confirm payment adjustment for fee schedule discrepancy — n435 confirms the payment reflects the plan's fee schedule maximum against payer policy and submit corrected claim as needed.
Behavioral Health
Apply behavioral health parity rules and confirm payment adjustment for fee schedule discrepancy — n435 confirms the payment reflects the plan's fee schedule maximum per MHPAEA standards.
Individual Code References
View the standalone definition for each code in this combination.
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