CO-173Contractual Adjustment
No authorization obtained for services rendered to this patient
What this code means
A specific type of service required your insurer approval before it was performed, and your provider did not get it.
What to do next
Ask your provider whether they attempted to obtain authorization. If they did, request proof and have them resubmit. If no authorization was attempted, appeal on the grounds of medical urgency or emergency if applicable.
Appeal outlook: Moderate for emergency situations
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