CO-104Contractual ObligationPayment Adjustment
CO-104 Denial Code: Managed care withholding
A contractual withhold under a managed-care risk arrangement — a percentage held back, potentially returned based on performance.
Why CO-104 happens
- ●Risk-withhold clause in the managed care contract
How to fix a CO-104 denial
- 1
Track withholds receivable; reconcile at settlement time
How to prevent it
Model withhold economics before signing risk contracts.
Drowning in CO-104 denials?
OakClaim works every denial within 48 hours and builds prevention rules so they stop recurring.