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CO-27 - Denial Journal
CARC CO — Contractual Obligation

CO-27

Expenses incurred after coverage terminated

What This Code Means

The date of service falls after the patient’s coverage with this plan had already ended.

Common Causes

  • Patient's coverage terminated mid-month
  • Eligibility not verified close to date of service
  • Patient switched plans without notifying the practice

How to Resolve or Appeal

  1. Re-verify eligibility for the actual date of service
  2. Identify and bill the patient's new active plan if one exists
  3. Confirm termination date isn't a payer system error
  4. Bill patient per your financial policy if no coverage exists

Educational reference only — not medical or legal advice. Always confirm code usage and appeal rights with the specific payer.

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