CARC · CO group
CO-140
Patient/insured health identification number and name do not match
Contractual obligation; provider write-off unless appealed
- What it means
- Demographic mismatch between the claim and the payer's member record.
- Likely cause
- Typos at intake, a changed last name, or a dependent billed under the subscriber's ID.
- How to fix it
- Correct the member ID, legal name, and date of birth against the card, then resubmit.
- Revenue impact
- Fully recoverable clerical denial.
- demographics
- clerical
- eligibility
Related codes
Early access
Seeing a lot of these?
Repeated CO-140 adjustments usually point to a step before submission. First Pass Paid is building pre-submission checks and a denial worklist to catch these earlier.
Join the early access list