In the complex world of medical billing and insurance reimbursements, denial codes play a critical role in identifying why a claim was not processed or paid by the payer. Among the most frequently encountered denial messages, CO 50 – Non-Covered Services is one that often disrupts cash flow, delays reimbursement, and increases rework for billing […]
Key Takeaways: CO 45 = “Charge exceeds fee schedule/maximum allowable or contracted rate.” It usually represents a contractual adjustment, not a billable patient balance. Common causes include outdated fee schedules, incorrect coding, or missing modifiers. Prevention requires accurate contract management, claim scrubbing, and staff training. Partnering with Allzone helps healthcare providers streamline denial management and […]
In today’s complex healthcare environment, revenue cycle management hinges on one crucial aspect—denial management. With payers constantly updating policies, and medical claims becoming increasingly complex, denied claims are inevitable. However, they don’t have to be revenue roadblocks. By streamlining the denial management process, healthcare providers can accelerate reimbursements, reduce administrative burden, and significantly boost revenue. […]



