CO-P5Contractual ObligationWorkers' Comp & Auto
CO-P5 Denial Code: P&C reasonable & customary reduction
Property & casualty payment based on payer R&C fees where no legislated fee schedule defines a maximum.
Why CO-P5 happens
- ●Auto/liability claims priced to the carrier's R&C database
How to fix a CO-P5 denial
- 1
Dispute with comparable-fee evidence if the R&C figure is unreasonably low
How to prevent it
Know which jurisdictions lack fee schedules — pricing disputes live there.
Drowning in CO-P5 denials?
OakClaim works every denial within 48 hours and builds prevention rules so they stop recurring.