CARC codes

I Called UnitedHealthcare, Cigna, and Aetna About Their CO-197 Criteria

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Here’s What the Reps Actually Said vs. What the Policy States A CO-197 denial means the service required prior authorization and either it wasn’t obtained or it wasn’t valid. That’s what the policy says. It’s clean, short, and almost completely useless when you’re staring at a remit with a $4,200 denial and a 45-day timely … Read more