Billing > Billing
Denial CO-252
TXBiller:
Hi All
Can someone please tell me what the below denial code means and how to resolve it?
CO-252: An attachment/other document is required to adjudicate this claim/service. At least one remark code must be provided (may be comprised of either the NCPDP Reject Reason Code, or Remittance Advice Remark Code that is not an ALERT)
Thank you in advance for any assistance you can give me.
TXBiller:
Does anyone know?
Michele:
That is telling you that another remark code should be on the EOB explaining the denial. If there is no other code then you should call and ask them to explain the denial.
kristin:
Every time I have ever seen this denial code (always with BCBS of Illinois) it means they want the treatement note/medical record for the DOS.
TXBiller:
Kristin -
I went back and look and that is another code listed. They want the medical record. I'm new to this software so I'm unsure how to get the medical record to them. Do I send it electronically, fax it, etc.? Any suggestions would be greatly appreciate.
Thank you
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