CO-106Contractual ObligationEligibility
CO-106 Denial Code: Patient payment option/election not in effect
The patient's chosen payment option or election (e.g., hospice election, managed-care option) wasn't active for this service.
Why CO-106 happens
- ●Service billed under an election window that hadn't started or had ended
- ●Election paperwork not on file with the payer
How to fix a CO-106 denial
- 1
Confirm election dates with the payer; rebill within the correct window or to the correct payer
How to prevent it
Track election periods (hospice, MA plan elections) in eligibility workflows.
Drowning in CO-106 denials?
OakClaim works every denial within 48 hours and builds prevention rules so they stop recurring.