In Medical Billing CO-5 denial code refers as the procedure code or CPT is inconsistent with Place of Service Code (POS code). It means the billed place of service code is not compatible with services performed. In any claim place of service code is an important element, the payment of medical claim depends on the ...
CO-04 defines the claim denial as procedure code or cpt code is inconsistent with modifier used. Modifiers are used in claim to enhance and add more clarification of procedure or services used in medical care. If we received this denial we need to follow some steps which are mentioned as below, Related Articles: ...
A co-payment or co-pay is the fixed amount a patient is required to pay at the time of receiving medical services. This amount is part of out of pocket expense along with deductible and co-insurance. This amount is typically determined by the patient’s health insurance policy and is usually a small portion of the total ...