OakClaim
CO-27Contractual ObligationEligibility

CO-27 Denial Code: Expenses incurred after coverage terminated

Expenses were incurred after the patient's insurance coverage terminated.

Why CO-27 happens

  • Policy termed before the date of service
  • Employer group coverage ended (job change) without patient notice
  • Eligibility checked against an old plan

How to fix a CO-27 denial

  1. 1

    Re-verify eligibility for the exact date of service

  2. 2

    Ask the patient for current insurance and bill the active plan

  3. 3

    If no active coverage, transfer balance to patient with a clear statement

How to prevent it

Run real-time eligibility (270/271) at scheduling and again at check-in.

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