267Denial Code (CARC)Active
CO 267 Denial Code - Resolve Multi-Month Claim Issues
Code 267 indicates that the claim or service in question spans multiple months. This denial is accompanied by a remark code to provide more details on the issue. The payer has identified that the billing period crosses over more than one month, which needs addressing.
Who Pays: Group Code Liability
For code 267, the group code can typically be CO, indicating a contractual write-off. The patient is not usually billed unless the accompanying remark code specifies otherwise.
Why Claims Get Code 267
- The claim was submitted with a date range that covers multiple months.
- Billing system configuration issues leading to incorrect date spans.
- Human error in entering service dates or date ranges.
- Failure to split services into separate monthly claims when required by the payer.
- Payer policies requiring monthly claims for ongoing services.
How to Fix & Resubmit
- Review the claim to verify the service dates and ensure they are accurate.
- Check the accompanying remark code to understand specific payer requirements.
- Contact the payer to clarify whether separate claims are needed for each month.
- If required, split the claim into multiple monthly claims and resubmit them.
- Ensure the billing system is configured to handle multi-month services correctly.
Corrected Claim or Appeal?
For code 267, submitting a corrected claim is typically the best course of action, especially if the service dates were incorrectly submitted. An appeal may be necessary if the payer's policy interpretation seems incorrect.
Preventing Future 267 Denials
- Ensure billing software is configured to handle multi-month claims appropriately.
- Train staff to recognize and split claims that span multiple months when required.
- Regularly review payer policies regarding billing for extended service periods.
- Implement checks to catch date range errors before claim submission.