CO-227: Patient Information Not Provided
Information requested from the patient/insured/responsible party was not provided or was insufficient. The payer requested information from the patient that was not received.
Why Claims Get Denied with CO-227
Denial code CO-227 is triggered when information requested from the patient/insured/responsible party was not provided or was insufficient. the payer requested information from the patient that was not received. Understanding the root causes helps prevent future denials and strengthens your appeal when one occurs.
Patient did not respond to payer's request for accident or injury details
Coordination of benefits questionnaire not completed by the patient
Workers' compensation or subrogation information not provided
Patient did not return required forms to the payer
How to Appeal CO-227
Contact the patient to obtain the information the payer requested. Once obtained, submit it with your appeal. If the patient cannot be reached, provide any relevant information you have in your records. Explain the efforts made to obtain the patient's response.
Documentation Required for Appeal
A successful appeal of CO-227 requires thorough documentation. Gather these items before drafting your appeal letter:
Completed patient questionnaire or requested information
Documentation of efforts to contact the patient
Any available information from your records
Payer's original request to the patient
How to Prevent CO-227 Denials
Assist patients with completing payer questionnaires when possible. Follow up with patients when you receive notification of outstanding payer requests. Collect accident and injury details during registration.
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