Healthcare Error Code
Healthcare Insurance / Medical Billing
Duplicate / Billing Errors

CO-23 | Impact of prior payer adjudication

Industry
Healthcare
Canonical
/healthcare/error-codes/co-23/
Last Updated
Feb 25, 2026
Summary

This code indicates that claim processing was affected by a prior payer’s adjudication.

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What This Code Means

CO-23 is used when a payer considers the outcome of another payer’s adjudication. This reflects coordination of benefits processing. The code does not independently determine coverage. It clarifies that payment decisions account for prior payments or denials. Final reimbursement depends on payer order and rules.

Where Users Usually See This Code

  • Remittance advice
  • EOB summaries
  • Coordination of benefits reports

Why This Code Appears

  • Secondary or tertiary payer involvement
  • Prior payer adjudication exists
  • Coordination rules applied

What Typically Happens Next

  • Payment is adjusted accordingly
  • Claim processing completes
  • Balances are updated

What This Code Is Not

  • It is not a denial by itself
  • It is not a billing error
  • It is not patient responsibility alone

Troubleshooting Checklist

  • Review coordination of benefits
  • Confirm payer order
  • Monitor payment adjustments

Notes And Edge Cases

Different payer hierarchies affect outcomes. Timing of adjudication data exchange can influence results.

Related Codes

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