EOB denial code CO-24: what it means

What it means

These charges fall under a capitation arrangement — the provider is paid a set per-member fee by the managed-care plan, so this service is not billed separately.

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

Official X12 description

“Charges are covered under a capitation agreement/managed care plan”

Typical cause

Your plan pays this provider a flat monthly rate rather than per service, so the line is not separately reimbursed.

What to do next

1. 1This is generally not a patient-owed amount.
2. 2If you are billed for it, contact your plan to confirm the capitation arrangement covers it.