CO-119Contractual Adjustment
Benefit maximum for this time period has been reached
What this code means
You have used up your plan benefit for this type of service for the year or coverage period. No additional claims for this service will be paid until the benefit resets.
What to do next
Verify your benefit limits in your plan documents. If you believe the limit count is wrong, request an accounting from your insurer. If the limit is correct, plan remaining covered visits for medically necessary care.
Appeal outlook: Low unless limit calculation is wrong
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