Insurance will deny the claim with CO 13 denial code – the date of death precedes the date of service, when the service billed leads the date of death of a patient.
We need to look into following steps to resolve the CO 13 denial code:
Most of the time we come across this CO 13 denial code, when we bill for rental DME (Durable Medical equipment) services.
Insurance will deny the claim as CO 14 denial code – the date of birth follows the date of service, when the service billed is before the date of birth.
In this case we need to look into following steps to resolve CO 14 denial code – the date of birth follows the date of service:
For the above two denial code demographic entry team plays a very important role, suppose assume patient date of birth or the date of service billed is incorrect. Then we end up the claim with denial code 13 or denial code 14.
For example:
Assume Chris date of birth 11/28/2019, but demographic team keyed the claim incorrectly and billed the claim with the date of service 11/15/2019 instead of 12/15/2019.
Here patient date of birth is 11/28/2019 and the date of service reported is before the date of birth. In this case claim will be denied by insurance company with CO 14 denial code – the date of birth follows the date of service. Demographic entry team should be careful while keying the details in the application in order to get rid of these denials.
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