Understanding the 197 Denial Code Description

Explanation of 197 denial code due to missing pre-authorization in medical billing.

The 197 denial code in medical billing is one of the most common issues healthcare providers face when dealing with insurance claims. This code signifies that a claim has been denied due to missing pre-certification, authorization, or notification from the payer.In other words, if a healthcare provider performs a medical service or procedure that requires […]

Understanding the CO 16 Denial Code in Medical Billing

Illustration explaining the meaning and solutions of CO 16 denial code in medical billing

Medical billing is a highly technical and detail-oriented process, and denial codes like the CO 16 denial code play an essential role in signaling issues with submitted claims. When a healthcare provider submits a claim to an insurance company, any errors or missing information can trigger a denial. The CO 16 denial code specifically alerts […]

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