OakClaim
CO-P16Contractual ObligationWorkers' Comp & Auto

CO-P16 Denial Code: Provider not certified for injured workers

The provider isn't authorized/certified to treat injured workers in this jurisdiction — some states require WC provider registration.

Why CO-P16 happens

  • Treating WC patients without the state's required WC certification

How to fix a CO-P16 denial

  1. 1

    Obtain the jurisdiction's WC provider certification; past claims may be unpayable

How to prevent it

Verify WC provider requirements before accepting injured workers in a new state.

Drowning in CO-P16 denials?

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