OakClaim
CO-260Contractual ObligationPayment Adjustment

CO-260 Denial Code: Processed under Medicaid ACA enhanced fee schedule

The claim paid under the ACA's enhanced Medicaid rate (primary care rate parity) — informational.

Why CO-260 happens

  • Qualifying primary-care service under a state's enhanced fee program

How to fix a CO-260 denial

  1. 1

    Verify the enhanced rate applied correctly; attest requirements are current

How to prevent it

Keep enhanced-rate attestations current with the state.

Drowning in CO-260 denials?

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