OakClaim
CO-21Contractual ObligationCoordination of Benefits

CO-21 Denial Code: Injury covered by no-fault carrier

This injury/illness is the liability of the no-fault carrier.

Why CO-21 happens

  • Auto-accident injury in a no-fault state billed to the health plan

How to fix a CO-21 denial

  1. 1

    Obtain the auto/no-fault carrier and claim number

  2. 2

    Bill the no-fault carrier first; health plan after exhaustion

How to prevent it

Ask about accident involvement for relevant diagnoses at intake.

Drowning in CO-21 denials?

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

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