Tag: Claim denials in healthcare

co 197 Denial Code

Complete Guide to Handling CO‑197 Denials in Medical Billing

What is CO‑197? In medical claims terminology, CO 197 (or “CO‑197”) is a denial adjustment code used by payers to indicate that a claim (or line item) was rejected because precertification, authorization, or required notification was not obtained prior to providing the service. The “CO” stands for Contractual Obligation — meaning this denial is tied […]
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CO-97 Denial Code

Understanding CO-97 Denial Code: Common Causes, Impact, and Best Practices

In the complex world of medical billing, claim denials are one of the biggest challenges healthcare providers face. Among them, CO-97 denial code is one of the most frequent and confusing denials providers encounter. A denied claim not only disrupts cash flow but also leads to additional administrative costs and potential compliance risks. To minimize […]
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Five Common Medical Billing Myths Busted

Five Common Medical Billing Myths Busted

In the fast-paced and ever-evolving world of healthcare, medical billing services play a critical role in ensuring a provider’s financial health. Yet, despite its importance, medical billing is still surrounded by several misconceptions that lead to inefficiencies, revenue loss, and administrative burnout. Whether you’re a physician, clinic manager, or revenue cycle professional, falling for these […]
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