CO-P18Contractual ObligationWorkers' Comp & Auto
CO-P18 Denial Code: P&C — allowance made for comparable service
The billed procedure isn't in the jurisdiction fee schedule; the carrier paid a comparable service's allowance instead.
Why CO-P18 happens
- ●Unlisted/unmapped procedure priced by analogy
How to fix a CO-P18 denial
- 1
Verify the comparable is reasonable; dispute with better-comparable evidence if not
How to prevent it
Pre-check schedule coverage for planned procedures on P&C cases.
Drowning in CO-P18 denials?
OakClaim works every denial within 48 hours and builds prevention rules so they stop recurring.