CO-139
Contracted funding agreement — subscriber employed by the provider of services
What This Code Means
A specific contractual arrangement applies because the patient is employed by the billing provider.
Common Causes
- Employee of the practice/facility receiving services there under a specific employer health plan arrangement
How to Resolve or Appeal
- Confirm the specific employer/provider contract terms
- Apply the contracted adjustment per the agreement
Educational reference only — not medical or legal advice. Always confirm code usage and appeal rights with the specific payer.