CO-19Contractual ObligationCoordination of Benefits
CO-19 Denial Code: Injury is work-related — workers' comp liability
This is a work-related injury/illness and thus the liability of the Worker's Compensation carrier.
Why CO-19 happens
- ●Diagnosis or intake indicates a work injury
- ●Claim sent to health plan instead of the WC carrier
How to fix a CO-19 denial
- 1
Confirm with the patient whether the injury was work-related
- 2
Bill the workers' comp carrier with the claim number
- 3
If not work-related, appeal with documentation stating so
How to prevent it
Capture injury cause and WC claim details at intake.
Drowning in CO-19 denials?
OakClaim works every denial within 48 hours and builds prevention rules so they stop recurring.