CO-288Contractual ObligationAuthorization
CO-288 Denial Code: Referral absent
The referral required for this service is absent.
Why CO-288 happens
- ●Specialist visit without the required PCP referral on file
- ●Referral expired or visit count exhausted
How to fix a CO-288 denial
- 1
Obtain the referral (retro if allowed) and resubmit
- 2
Appeal with evidence a referral existed at DOS
How to prevent it
Verify referral on file before specialist appointments.
Drowning in CO-288 denials?
OakClaim works every denial within 48 hours and builds prevention rules so they stop recurring.