CO-147
Provider contracted/negotiated rate expired or not on file
What This Code Means
The payer doesn’t have a current contracted rate on file for this provider for the billed service.
Common Causes
- Contract renewal not processed before the date of service
- Provider recently joined the network and rates aren't loaded yet
How to Resolve or Appeal
- Confirm current contract status and effective dates with the payer's contracting department
- Resubmit once the rate is loaded, or appeal citing the executed contract date
Educational reference only — not medical or legal advice. Always confirm code usage and appeal rights with the specific payer.