OakClaim
CO-P25Contractual ObligationWorkers' Comp & Auto

CO-P25 Denial Code: P&C — Medical Provider Network adjustment

Adjusted per a Medical Provider Network (MPN) arrangement — California-style WC networks.

Why CO-P25 happens

  • Treatment within (or outside) an employer's MPN affecting payment

How to fix a CO-P25 denial

  1. 1

    Verify MPN participation status; out-of-MPN care may be non-payable except emergencies

How to prevent it

Confirm MPN membership before treating CA WC patients.

Drowning in CO-P25 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