Denial code CO-31 means in medical billing, “patient is not identified as insured”. Insurance company denied some claims due to denial code CO 31, as they are not able to match the patient information same as their records and submitted claim.
CO 31 Denial Code explanation – “The patient is can’t be identified as our insured”
If patient information on claim is not matched with insurance records in that case we received CO-31 denial.
How to handle CO-31 Denial in Medical Billing?
For handeling denial code CO-31, we need follow some steps mentioned as below,
Step 1-
Check patient insurance id number, Name, DOB, SSN and other information same as on insurance website and submitted claim. Also check patient eligibility for insurance as well.
Step 2-
If we found that some information is wrongly updated or updated earlier not correct, then need to resubmit claim with corrected information.
Step 3-
If everything is correct, then need to call insurance company and ask them for which information claim was denied, if everything is ok, then ask for process the claim. If they provide some specific information which not updated in claim , need to update and rebill the claim.
Denial code CO 31 is an important and common denial code, due to this denial lots of claims rejected everyday, so need to submit claim claims with proper checking of information updated on claim are same as portal as well. Denial of claim is loss of revenue and it will take longer time to getting paid of the claim so need to recheck the claims before submission.