CO-170Contractual ObligationProvider Enrollment
CO-170 Denial Code: Payment denied for this provider type
Payment is denied when performed/billed by this type of provider.
Why CO-170 happens
- ●Service outside the rendering provider's scope per payer policy
- ●Wrong rendering NPI or taxonomy on the claim
How to fix a CO-170 denial
- 1
Verify the rendering provider and taxonomy code
- 2
Rebill under the correct provider if a billing error
- 3
Appeal with scope-of-practice documentation if appropriate
How to prevent it
Map services to eligible provider types in your billing rules.
Drowning in CO-170 denials?
OakClaim works every denial within 48 hours and builds prevention rules so they stop recurring.