CO-22 Denial Code meaning in USA Medical Billing is “Covered by Another Payer”, actually CO22 denied code means patients COB- Coordination of benefit information is not updated. In this article we discussed in detailed way on this denial code CO22.
What is Co-ordination of Benefit in Medical Billing?
Coordination of benefits (COB) means patient has 2 insurances and one is primary and another is secondary, but patient not clarified and update this information to insurance companies that which one is primary and secondary. In this case both insurances denied as “Covered by another payer”.
How to handle CO-22 Denial Code?
CO-22 is a common denial and most of time Medicare denied claims due to this reason. When get this denial need to follow steps mentioned below,
Step 1
The very 1st step is to check insurance portal for patients other or primary insurance information, if we got the insurance information, need to update correct insurance as primary and claim rebilled correctly.
Step 2
In second step, if not found correct info in 1st step, then call to insurance company and ask for the primary insurance information. If not found corrected info on call then sometimes follow the 3rd step.
Step 3
In some cases or SOP guidelines, some times claim billed to patient because patient has actual information he/she will update the corrected info which insurance is primary and which one is secondary.