OakClaim
CO-61Contractual ObligationAuthorization

CO-61 Denial Code: No second surgical opinion obtained

The plan required a second surgical opinion before this procedure and reduced or denied payment because it wasn't obtained.

Why CO-61 happens

  • Plan's SSO requirement missed during scheduling
  • Second opinion obtained but never documented to the payer

How to fix a CO-61 denial

  1. 1

    If an opinion exists, submit the documentation and appeal

  2. 2

    Otherwise request the payer's reconsideration options; the reduction usually stands

How to prevent it

Capture second-opinion requirements in your prior-auth workflow for surgical plans that mandate them.

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