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CO-111Contractual ObligationContractual

CO-111 Denial Code: Not covered unless provider accepts assignment

The service is only payable when the provider accepts assignment — billed non-assigned, it denies.

Why CO-111 happens

  • Non-assigned claim for a service the payer mandates assignment on (e.g., Medicare drugs, clinical lab)

How to fix a CO-111 denial

  1. 1

    Rebill as assigned; payment then flows to the practice at the allowed rate

How to prevent it

Know the mandatory-assignment service list for Medicare and your major payers.

Drowning in CO-111 denials?

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

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