OakClaim
CO-274Contractual ObligationContractual

CO-274 Denial Code: Not payable per care coordination arrangement

The fee/service isn't payable under the patient's care coordination arrangement — the coordinating entity's terms control.

Why CO-274 happens

  • Services carved into a care-coordination entity's responsibility

How to fix a CO-274 denial

  1. 1

    Identify the responsible coordinating entity and bill per that arrangement

How to prevent it

Map care-coordination carve-outs for your attributed patients.

Drowning in CO-274 denials?

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

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