The insurer says this service is already included in the payment for a different service billed at the same time. You cannot be paid separately for it.
Ask your provider to verify the bundling rules for these procedure codes. If the services were genuinely separate and distinct, your provider may be able to resubmit with a modifier indicating they should be billed separately.
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Open Medical Bill AnalyzerCO-97 means your provider billed a service that should have been included in another charge. Here is how bundling works and when to appeal.
Read articleWhat to Do When Insurance Denies a ClaimInsurance denied your claim? Learn the exact steps to appeal a health insurance denial in 2026, from reading the denial letter to external independent review.
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