OakClaim
CO-284Contractual ObligationAuthorization

CO-284 Denial Code: Auth number valid but not for these services

The authorization exists but doesn't cover the billed services — wrong codes, levels, or scope on the auth.

Why CO-284 happens

  • Procedure changed intraoperatively without auth update
  • Auth obtained for different CPT codes than performed/billed

How to fix a CO-284 denial

  1. 1

    Request an auth amendment/retro-review matching actual services; appeal with clinical rationale for the change

How to prevent it

Post-procedure auth reconciliation before claims release for surgical cases.

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