Member Knowledge Vault
Your professional reference environment
26 validated denial records with guided rebill workflows, the ClaimetryX Knowledge Base, revenue cycle leadership modules, and member resources — all searchable from the bar above.
Denial reference
Root cause, ownership, corrective actions, and guided workflows by CARC/RARC.
Knowledge Base
Payer operations, coding and claim data, coverage, and Rural Health Clinic references.
Member resources
Working trackers, logs, and worksheets you can download and use.
Ask ClaimetryX
A short, sourced answer to a specific claim question.
Frequent denial references
CO-16 — Missing/Invalid/Incomplete Claim Information
Resolved by Billing/Follow-Up
CO-31 — Patient Not Eligible / Cannot Be Identified as Insured
Resolved by Registration/Patient Access or Billing
CO-26 — Coverage Not in Effect on Date of Service (Termination)
Resolved by Registration/Patient Access, Billing
CO-22 — Coordination of Benefits (COB) — Another Payer May Be Primary (CO-22)
Resolved by Billing/Follow-Up
OA-23 — Impact of Prior-Payer Adjudication (OA-23 / narrow Medicare CO-23) & the "Recoupment Denial"
Resolved by Billing/Follow-Up (with Payment Posting / ERA reconciliation)
CO-197 — Authorization/Precertification Absent or Exceeded
Resolved by Precertification/Prior Authorization, Billing/Follow-Up