Denial Code 96

Non-Covered Charge

A general denial for a non-covered charge (often used for experimental or elective services).

Quick Explanation

Denial code CO-96 indicates that the billed service is considered a non-covered charge under the patient’s insurance plan or provider contract, meaning the payer has determined the service is excluded from reimbursement regardless of medical necessity or documentation. This differs from other denial codes such as CO-167 (specific procedure exclusion) or PR-96 (patient responsibility), as CO-96 reflects a contractual obligation where the provider cannot bill the patient and must absorb the loss unless the denial is successfully appealed based on coverage policy or medical necessity.

Common Causes for 96

Denials with code 96 typically happen for the following specific reasons:

How to Prevent 96 Denials

To avoid receiving this denial in the future, implement these specific checks:

Appeal Letter Template for 96

If you believe this claim was denied incorrectly, you can use the following template to submit an appeal.

[Your Practice Header]
[Date]

[Payer Name]
[Appeals Department Address]

RE: Appeal for Claim [Claim Number]
Patient: [Patient Name]
ID: [Patient ID]
Date of Service: [Date]
Denial Code: 96 - Non-Covered Charge

Dear Appeals Department,

I am writing to appeal the denial of the above-referenced claim, which was denied with code 96: "Non-Covered Charge".

The service in question was medically necessary and performed in accordance with accepted clinical guidelines for the patient’s documented condition. The submitted documentation, including the diagnosis (ICD-10) and procedure (CPT) codes, supports the medical necessity and appropriateness of the service. The payer’s denial under CO-96 appears to be based on a policy interpretation that may not reflect the clinical context or the specific circumstances of this case. We request reconsideration of coverage based on the clinical evidence provided and reference to the payer’s own medical policy, which allows for exceptions when services are deemed medically necessary and supported by documentation. If applicable, we also note that the service was performed during a period of active patient coverage and meets all contractual and regulatory requirements for reimbursement.

Attached please find:
1. A copy of the original claim.
2. The relevant medical records supporting the service.
3. [Any other supporting documents].

We respectfully request that you reprocess this claim for payment.

Sincerely,

[Your Name]
[Title]
[Practice Name]
            

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