OA-215Other AdjustmentCoordination of Benefits
OA-215 Denial Code: Based on subrogation of third-party settlement
Adjusted based on the payer's subrogation rights against a third-party settlement.
Why OA-215 happens
- ●Injury claim where a liability settlement repays the health plan
How to fix a OA-215 denial
- 1
Coordinate with the payer's subrogation unit; verify amounts against the settlement
How to prevent it
Flag third-party-liability cases early and track subrogation correspondence.
Drowning in OA-215 denials?
OakClaim works every denial within 48 hours and builds prevention rules so they stop recurring.