Category: Prior Authorizations
CO-197 Denial Code (Prior Auth): Causes, Recovery Routes and 2026 Payer Rules
The CO-197 denial code is a claim adjustment reason code (CARC 197) that tells a provider the payer found no required precertification, authorization, notification or pre-treatment approval for the billed service. Group code CO makes the provider responsible, so the practice must correct, obtain retro approval for, appeal or write off the claim. Review note: […]
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Struggling with Authorizations? Discover Medical Billing Solutions That Actually Work
In the complex world of healthcare, medical billing authorizations stand as a critical yet often problematic component of the revenue cycle. For healthcare providers, securing timely and accurate authorizations from insurance companies is essential to ensure that services rendered are reimbursed. However, the process is fraught with challenges—denials, delays, and administrative burdens that can erode […]
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