GetMax

Claim adjustment reason code · Contractual obligation

CO-A1
Claim or service denied

What CO-A1 means

A general denial. A remark code on the remittance explains the reason.

The CO group code means this amount is a contractual obligation: under most contracts you cannot bill it to the patient.

Common causes

  • Varies: see the RARC

How to fix it

  1. Read the RARC and act on the specific reason
  2. Call the payer if the reason is unclear

Check the remark code (RARC) that came with the denial and the payer's own policy, since rules vary by payer and plan. This is a plain-English summary written by GetMax; the official code text is published by X12 at x12.org/codes.

Prevent it next time

Most denials are caused before the claim is sent. See 12 ways to reduce claim denials, or let our denial management team work them for you.

Let us work your denials.

We triage every denial by code and payer, fix or appeal it, and stop it repeating.