CO-119 | Benefit maximum reached

Industry

Insurance

Canonical

/insurance/healthcare/error-codes/co-119/

Last Updated

Feb 25, 2026

Summary

This code indicates that the patient has reached the maximum benefit limit for the service.

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Hub

Guides

The Complete Insurance Claim Denial Codes Directory (2026 Edition)

Related Codes

What This Code Means

CO-119 is used when benefit limits defined by the plan have been exhausted. Benefit maximums restrict how much coverage is available within a defined period. This is a plan design feature rather than a billing error. Additional services may not be reimbursed once limits are reached.

Where Users Usually See This Code

Remittance advice
EOB summaries
Benefit utilization reports

Why This Code Appears

Annual or lifetime benefit limit reached
Service frequency limits exceeded
Plan utilization caps enforced

What Typically Happens Next

Payment is denied
Responsibility may transfer per policy
Claim line is closed

What This Code Is Not

It is not a documentation issue
It is not a duplicate claim
It is not a contractual adjustment

Troubleshooting Checklist

□ Review benefit utilization
□ Confirm applicable limits
□ Monitor benefit period resets

Notes And Edge Cases

Benefit limits may reset annually. Different services may have separate limits.

Related Codes

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