OakClaim
CO-P20Contractual ObligationWorkers' Comp & Auto

CO-P20 Denial Code: P&C — outpatient facility fee schedule

Service not paid under the jurisdiction's allowed outpatient facility fee schedule.

Why CO-P20 happens

  • Facility services outside the jurisdiction's outpatient schedule scope

How to fix a CO-P20 denial

  1. 1

    Review the schedule's facility rules; dispute or rebill per its structure

How to prevent it

Understand facility-side WC/auto payment rules per state.

Drowning in CO-P20 denials?

OakClaim works every denial within 48 hours and builds prevention rules so they stop recurring.

Get a Free Audit

Related workers' comp & auto denials