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CO-237Contractual ObligationPayment Adjustment

CO-237 Denial Code: Legislated/regulatory penalty

A penalty mandated by law or regulation — MIPS negative adjustments and similar program penalties ride on this code.

Why CO-237 happens

  • MIPS payment adjustment (negative)
  • Other regulatory program penalties applied to claims

How to fix a CO-237 denial

  1. 1

    Identify the program from the remark code; verify the penalty percentage matches your program status

How to prevent it

Meet quality-program requirements — these penalties compound across every Medicare claim.

Drowning in CO-237 denials?

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

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