835 Denial Combination
CO-96
Contractual Obligation · Claim-Level Adjustment
What This Combination Means
The claim was submitted with non-covered charges. One or more charges on the claim are for services not covered by the patient's plan.
N/A
Appeal Success
5-10 days
Avg. Resolution
Medium
Difficulty
No
Appealable
Step-by-Step Resolution
Steps tailored specifically to this CO-96 combination — not generic advice.
- 1
Identify which specific service lines were denied as non-covered.
- 2
Review the patient's plan documents to confirm the exclusion.
- 3
Bill the patient for non-covered services per your financial policy.
- 4
Do not write off non-covered services as contractual adjustments.
Specialty Context
How CO-96 typically presents across different practice types.
Dental
Verify the claim was submitted with non-covered charges per your dental plan contract and documentation requirements.
Medical
Confirm the claim was submitted with non-covered charges against payer policy and submit corrected claim as needed.
Behavioral Health
Apply behavioral health parity rules and confirm the claim was submitted with non-covered charges per MHPAEA standards.
Individual Code References
View the standalone definition for each code in this combination.
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