CO-119Contractual ObligationEligibility
CO-119 Denial Code: Benefit maximum reached
Benefit maximum for this time period or occurrence has been reached.
Why CO-119 happens
- ●Visit limits exhausted (e.g., PT/OT visit caps)
- ●Annual dollar maximum reached (dental, vision)
How to fix a CO-119 denial
- 1
Verify remaining benefits with the payer
- 2
Bill the patient if benefits are truly exhausted and notice was given
- 3
Appeal with medical necessity if an exception process exists
How to prevent it
Track benefit utilization for capped services and inform patients before the cap.
Drowning in CO-119 denials?
OakClaim works every denial within 48 hours and builds prevention rules so they stop recurring.