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CO-213Contractual ObligationContractual

CO-213 Denial Code: Self-referral (Stark) non-compliance

Denied for non-compliance with physician self-referral prohibitions (Stark law) or the payer's equivalent policy — a serious compliance flag.

Why CO-213 happens

  • Referral to an entity with a financial relationship lacking a Stark exception

How to fix a CO-213 denial

  1. 1

    Involve compliance/legal immediately — this is beyond routine appeals

  2. 2

    If an exception applies, appeal with the documented exception

How to prevent it

Standing legal review of all financial relationships with referral sources.

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