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
- Re-verify eligibility for the actual date of service
- Identify and bill the patient's new active plan if one exists
- Confirm termination date isn't a payer system error
- Bill patient per your financial policy if no coverage exists
More Denial Codes to Check
Educational reference only — not medical or legal advice. Always confirm code usage and appeal rights with the specific payer.