EOB denial code CO-147: what it means

What it means

The insurer does not have a current contracted rate on file for this provider, so it could not price the claim normally.

Contractual Obligation — an adjustment the provider agreed to by contract. The patient is generally not billed for CO amounts.

Official X12 description

“Provider contracted/negotiated rate expired or not on file”

Typical cause

A lapsed or not-yet-loaded provider contract on the insurer's side.

What to do next

1. 1This is a provider/insurer contracting issue, not a patient-owed amount.
2. 2Ask the provider's billing office to confirm their contract status with the insurer.