CO-32
Records indicate the patient is not an eligible dependent
What This Code Means
The payer’s records show this individual doesn’t qualify as a covered dependent under the subscriber’s plan.
Common Causes
- Dependent aged out of eligibility (e.g. over the plan's age limit)
- Dependent relationship not updated with the payer
How to Resolve or Appeal
- Confirm the dependent relationship and age limits with the payer
- Update coverage information if it's simply outdated
More Denial Codes to Check
Educational reference only — not medical or legal advice. Always confirm code usage and appeal rights with the specific payer.