107Denial Code (CARC)Active
Denial Code CO 107 - Resolve and Prevent Issues
CARC 107 indicates that the claim or service referred to in your submission wasn't properly identified. This means the payer couldn't find the related claim or service information necessary to process the payment. Check the 835 Healthcare Policy Identification Segment in loop 2110 for more details, if available.
Who Pays: Group Code Liability
Under CO, the provider must write off the amount as a contractual obligation, and the patient cannot be billed. If the group code is OA, the adjustment is non-billable, and the provider absorbs the cost.
Why Claims Get Code 107
- Incorrect claim number or reference number used in the submission.
- Missing or incorrect information in the 835 Healthcare Policy Identification Segment.
- Failure to include a necessary attachment or documentation that identifies the related claim.
- Mismatched patient identifiers between the original and related claims.
- Errors in claim submission that lead to misidentification of the related service.
How to Fix & Resubmit
- Verify the claim number or reference number used in the submission for accuracy.
- Check the 835 Healthcare Policy Identification Segment for any missing or incorrect information.
- Ensure all necessary documentation or attachments are included with the claim.
- Confirm that patient identifiers are consistent across related claims.
- Resubmit the claim with correct information or required documentation.
Corrected Claim or Appeal?
Submit a corrected claim with accurate information if the error was due to incorrect or missing details. An appeal is appropriate if the payer's system failed to recognize a correctly submitted related claim.
Preventing Future 107 Denials
- Double-check claim numbers and reference details before submission.
- Ensure all required documentation is attached to the claim initially.
- Regularly audit submissions for consistency in patient identifiers.
- Train staff on accurately filling out the 835 Healthcare Policy Identification Segment.