CO-280Contractual ObligationPlan Routing
CO-280 Denial Code: Medical plan received it — belongs to pharmacy
The medical plan received a claim belonging to the pharmacy benefit — resubmit to the pharmacy plan.
Why CO-280 happens
- ●Self-administered or retail-drug items billed medically
How to fix a CO-280 denial
- 1
Route through the pharmacy benefit (NCPDP) or the patient's PBM
How to prevent it
Know medical-vs-pharmacy benefit routing for drugs you furnish.
Drowning in CO-280 denials?
OakClaim works every denial within 48 hours and builds prevention rules so they stop recurring.