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CO-102Contractual ObligationPayment Adjustment

CO-102 Denial Code: Major medical adjustment

Legacy adjustment moving the claim between basic and major-medical benefit layers of older plan designs.

Why CO-102 happens

  • Plan design splits benefits into basic and major medical components

How to fix a CO-102 denial

  1. 1

    Verify the combined payment across layers matches the allowable

How to prevent it

Informational — reconcile the full remit before assuming underpayment.

Drowning in CO-102 denials?

OakClaim works every denial within 48 hours and builds prevention rules so they stop recurring.

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