CO-193Contractual ObligationAppeals
CO-193 Denial Code: Original decision upheld on review
Your appeal/review concluded and the payer maintained its original decision — this is the answer to a first-level appeal.
Why CO-193 happens
- ●First-level appeal did not overturn the original adjudication
How to fix a CO-193 denial
- 1
Escalate to the next appeal level with stronger evidence — new documentation, policy citations, peer-to-peer
- 2
Evaluate cost/benefit; not every claim merits second-level appeals
How to prevent it
Front-load appeals with complete evidence — thin first appeals waste the strongest level.
Drowning in CO-193 denials?
OakClaim works every denial within 48 hours and builds prevention rules so they stop recurring.