Bill Advantage
CO-45Contractual Adjustment

Charges exceed the allowed amount

What this code means

Your provider billed more than what your insurer has agreed to pay for this service. If your provider is in-network, you cannot be billed for the difference.

What to do next

If your provider is in-network, you owe only your plan cost-sharing. You are not responsible for the difference between billed and allowed amounts. Contact your insurer if the provider attempts to bill you for the balance.

Recommended tool

Bill Advantage can analyze your denial and generate a ready-to-send appeal or dispute letter in minutes.

Open Medical Bill Analyzer

Related denial codes